Active NPI
Ella Vanderbilt-Adriance
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1801176110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60194669
- Practice address
- CHDD Columbia Rd
Box 357920 Room 205
Seattle, WA 98195-7920 - Phone
- (206) 543-9930
- Fax
- (206) 598-7815
- NPI assigned
- Aug 18, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60194669 | WA | Primary |
Addresses
Primary practice location
CHDD Columbia Rd
Box 357920 Room 205
Seattle, WA 98195-7920
Mailing address
CHDD Columbia Rd
Box 357920 Room 205
Seattle, WA 98195-7920
Phone (206) 543-9930
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60194669 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Washington | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1801176110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CHDD COLUMBIA RD",
"address_2": "BOX 357920 ROOM 205",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957920",
"telephone_number": "206-543-9930",
"fax_number": "206-598-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHDD COLUMBIA RD",
"address_2": "BOX 357920 ROOM 205",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957920",
"telephone_number": "206-543-9930",
"fax_number": "206-598-7815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERBILT-ADRIANCE",
"first_name": "ELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60194669",
"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 Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.