Active NPI
Phyllis Sanchez, PHD
- Clinical Neuropsychologist
- Seattle, WA
National Provider Identifier
1659482578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY00001443
- Practice address
- 1402 3Rd Ave
Ste. 624
Seattle, WA 98101-2195 - Phone
- (206) 447-7217
- Fax
- (206) 447-7001
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY00001443 | WA | Primary |
Addresses
Primary practice location
1402 3Rd Ave
Ste. 624
Seattle, WA 98101-2195
Mailing address
1402 3Rd Ave
Ste. 624
Seattle, WA 98101-2195
Phone (206) 447-7217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8350027 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00001443 | WA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1659482578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 3RD AVE",
"address_2": "STE. 624",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012195",
"telephone_number": "206-447-7217",
"fax_number": "206-447-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 3RD AVE",
"address_2": "STE. 624",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012195",
"telephone_number": "206-447-7217",
"fax_number": "206-447-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "PHYLLIS",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WA",
"license": "PY00001443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8350027",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.