Organization Active NPI

Lisa C. Trifiletti

  • Community/Behavioral Health Agency
  • Lynnwood, WA
National Provider Identifier
1740658400
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY60471722 Issued in WA
Legal business name
LISA C. TRIFILETTI
Practice address
19009 33Rd Ave W
Suite 206
Lynnwood, WA 98036-4717
Phone
(425) 741-1405
NPI assigned
Sep 10, 2015
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Dr. Lisa Cristina Trifiletti, PSY.D.NPI 1093623290
Title
Licensed Psychologist
Phone
(617) 771-2190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PY60471722 WA Primary

Addresses

Primary practice location

19009 33Rd Ave W
Suite 206
Lynnwood, WA 98036-4717

Mailing address

19009 33Rd Ave W
Suite 206
Lynnwood, WA 98036-4717

National Provider Directory

National Provider Directory

Locations

19009 33rd Ave W
Ste 206
Lynnwood, WA 98036
Phone (425) 741-1405

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1740658400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19009 33RD AVE W",
            "address_2": "SUITE 206",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19009 33RD AVE W",
            "address_2": "SUITE 206",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364717",
            "telephone_number": "425-741-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA C. TRIFILETTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "TRIFILETTI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-771-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "PY60471722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.