Organization Active NPI

Timothy S. Cahn PHD, Inc.

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1699043273
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1315 Issued in WA
Legal business name
TIMOTHY S. CAHN PHD, INC.
Practice address
901 Boren Ave Ste 1010
Seattle, WA 98104-3506
Phone
(206) 624-1856
Fax
(206) 625-9475
NPI assigned
Dec 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Timothy S Cahn, PHDNPI 1316099278
Title
Owner
Phone
(206) 624-1856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1315 WA Primary

Addresses

Primary practice location

901 Boren Ave Ste 1010
Seattle, WA 98104-3506

Mailing address

901 Boren Ave Ste 1010
Seattle, WA 98104-3506
Phone (206) 624-1856

Other identifiers 1

IdentifierTypeStateIssuer
G000120432OtherWAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120323000468 WA Part B Supplier - Clinic/Group Practice 1658531975 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

901 Boren Ave
Ste 1010
Seattle, WA 98104
Phone (206) 624-1856

901 Boren Ave
Ste 1930
Seattle, WA 98104
Phone (206) 624-1856

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1699043273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 1010",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043506",
            "telephone_number": "206-624-1856",
            "fax_number": "206-625-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 1010",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043506",
            "telephone_number": "206-624-1856",
            "fax_number": "206-625-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY S. CAHN PHD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "CAHN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-624-1856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G000120432",
            "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 Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.