Darryl Graham, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60323874 Issued in WA

Practice address

801 12TH PL N
Edmonds, WA 98020-2937

Phone

(206) 235-9009

NPI assigned

Apr 6, 2011

Last updated

Feb 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1760771018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 12TH PL N",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980202937",
            "telephone_number": "206-235-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 12TH PL N",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980202937",
            "telephone_number": "206-235-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DARRYL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60323874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne M Gormley, DPM
• Michelle J. Gottschlich, M.D.
• Vasanthi S Gowri, MD
• Maria Amoreth Ramiro Gozo, M.D.
• Debra Grady, MA - PSYCHOLOGY
• Tracy Lea Gramer, OTR/L, CHT
• Eric D Grassman, MD, PHD
• Dana K. Graves, M.A., L.M.H.C.
• Bradley John Gray, MOTRL, CHT
• Scott W Gray, CRNA

• 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 Feb 11, 2013; 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.