Individual provider Active NPI

Stephen F Andrews, PH.D.

  • Clinical Psychologist
  • Kirkland, WA
National Provider Identifier
1831255512
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00001458 Issued in WA
Practice address
1104 Market St
Kirkland, WA 98033-5441
Phone
(425) 822-8288
Fax
(425) 889-8362
NPI assigned
Dec 28, 2006
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY00001458 WA Primary

Addresses

Primary practice location

1104 Market St
Kirkland, WA 98033-5441

Mailing address

1104 Market St
Kirkland, WA 98033-5441
Phone (425) 822-8288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1831255512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MARKET ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335441",
            "telephone_number": "425-822-8288",
            "fax_number": "425-889-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MARKET ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335441",
            "telephone_number": "425-822-8288",
            "fax_number": "425-889-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.