Active NPI
Matthew Enkema, PHD
- Psychologist
- Seattle, WA
National Provider Identifier
1790306520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1200 5TH Ave Ste 800
Seattle, WA 98101-3136 - Phone
- (206) 755-8825
- NPI assigned
- May 4, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | WA | Primary |
Addresses
Primary practice location
1200 5TH Ave Ste 800
Seattle, WA 98101-3136
Mailing address
1200 5TH Ave Ste 800
Seattle, WA 98101-3136
Phone (206) 755-8825
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://smclinician.myhealth.va.gov/mhv-sm-web |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 8, 2023 through Feb 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1790306520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 5TH AVE STE 800",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013136",
"telephone_number": "206-755-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 5TH AVE STE 800",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013136",
"telephone_number": "206-755-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENKEMA",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-04",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://smclinician.myhealth.va.gov/mhv-sm-web",
"affiliation": "N",
"endpointDescription": "Secure messaging",
"address_1": "1660 S Columbian Way",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981081532",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.