Julie Karen Adams, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00001981 Issued in WA

Practice address

543 Main St
Ste 104
Edmonds, WA 98020-3162

Phone

(425) 513-1600

Fax

(206) 915-0141

NPI assigned

Jun 15, 2006

Last updated

Aug 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1700820644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 164TH ST SE",
            "address_2": "# 318",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126385",
            "telephone_number": "425-379-5065",
            "fax_number": "425-379-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 MAIN ST",
            "address_2": "STE 104",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203162",
            "telephone_number": "425-513-1600",
            "fax_number": "206-915-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JULIE",
        "middle_name": "KAREN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7117781",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Acren Health Care Inc
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• Stevie W Adamek
• Benjamin William Adams, M.A.
• Adapt to Growth Therapy, PLLC
• Kary Melinda Addison, MSW
• Robert Adelman, MD
• Trina M Ademofe, LICSW
• Tasneem Mustafa Adenwala, MD

• Clinical Psychologist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.