Active NPI
Virginia M. Buzzell, PH.D
- Clinical Psychologist
- Edmonds, WA
National Provider Identifier
1841349446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 60048804
- Practice address
- 555 Dayton St
Ste D
Edmonds, WA 98020-3476 - Phone
- (425) 330-0421
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 60048804 | WA | Primary |
Addresses
Primary practice location
555 Dayton St
Ste D
Edmonds, WA 98020-3476
Mailing address
18540 63Rd Ave NE
Kenmore, WA 98028-8919
Phone (425) 330-0421
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60048804 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1841349446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18540 63RD AVE NE",
"city": "KENMORE",
"state": "WA",
"postal_code": "980288919",
"telephone_number": "425-330-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 DAYTON ST",
"address_2": "STE D",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203476",
"telephone_number": "425-330-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZZELL",
"first_name": "VIRGINIA",
"middle_name": "M.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "60048804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.