Ifeyinwa Amuche Nwangwu

Primary specialty

PsychologistTaxonomy code 103T00000X

License

61446852 Issued in WA

Practice address

19803 N Creek Pkwy Ste 205
Bothell, WA 98011-5014

Phone

(206) 291-2981

Fax

(425) 427-2477

NPI assigned

Apr 29, 2019

Last updated

Mar 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1720642333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19803 N CREEK PKWY STE 205",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115014",
            "telephone_number": "206-291-2981",
            "fax_number": "425-427-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19803 N CREEK PKWY STE 205",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115014",
            "telephone_number": "206-291-2981",
            "fax_number": "425-427-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANGWU",
        "first_name": "IFEYINWA",
        "middle_name": "AMUCHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "61446852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Bothell, WA
• Providers in Bothell, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.