Active NPI
Macmichael Jensen, MD
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1730610239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A159311
- Practice address
- 4800 Sand Point Way NE
Ms Oa.5.154
Seattle, WA 98105-3901 - Phone
- (206) 987-3268
- Fax
- (206) 987-2246
- NPI assigned
- Mar 26, 2017
- Last updated
- Jul 6, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A159311 | CA | Primary |
Addresses
Primary practice location
4800 Sand Point Way NE
Ms Oa.5.154
Seattle, WA 98105-3901
Mailing address
4800 Sand Point Way NE
Ms Oa.5.154
Seattle, WA 98105-3901
Phone (206) 987-3268
Other practice location 1
1200 N State St
Los Angeles, CA 90033-1029
Phone (323) 409-5555
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A159311 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1730610239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "MS OA.5.154",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-3268",
"fax_number": "206-987-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "MS OA.5.154",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-3268",
"fax_number": "206-987-2246"
}
],
"practiceLocations": [
{
"address_1": "1200 N State St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900331029",
"country_code": "US",
"telephone_number": "323-409-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "MACMICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-26",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A159311",
"primary": true
}
],
"identifiers": [],
"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 Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.