Individual provider Active NPI

James A. Keyes, PH.D.

  • Psychologist
  • Seattle, WA
National Provider Identifier
1841221165
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2009 Issued in WA
Practice address
2611 NE 125TH St Ste 225
Seattle, WA 98125-4357
Phone
(206) 569-3361
Fax
(425) 357-0924
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2009 WA Primary

Addresses

Primary practice location

2611 NE 125TH St Ste 225
Seattle, WA 98125-4357

Mailing address

12032 Palatine Ave N
Seattle, WA 98133-8112
Phone (206) 898-7053

Other names 1

  • Jamie Keyes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000903 WA Practitioner - Clinical Psychologist 6204022726 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2611 NE 125TH St
Suite 225
Seattle, WA 98125-4357
Phone (206) 898-7053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2009WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Gross, PSYD, Inc PastSince Feb 4, 2024 Accepting new patients
Summit Consulting Group, Inc. Past Accepting new patients
A B C D Inc Psychologist PastSince Sep 23, 2024 Accepting new patients

Organizations & group practices 3

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1841221165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12032 PALATINE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338112",
            "telephone_number": "206-898-7053",
            "fax_number": "425-357-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 NE 125TH ST STE 225",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254357",
            "telephone_number": "206-569-3361",
            "fax_number": "425-357-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "JAMES",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "KEYES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.