Individual provider Active NPI

Mary Lee Holscher, PH.D.

  • Psychologist
  • Seattle, WA
National Provider Identifier
1851664080
Registry record updated Feb 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0000970 Issued in WA
Practice address
3876 Bridge Way N
Suite 200
Seattle, WA 98103-7951
Phone
(206) 524-0704
NPI assigned
Feb 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0000970 WA Primary

Addresses

Primary practice location

3876 Bridge Way N
Suite 200
Seattle, WA 98103-7951

Mailing address

6715 Phinney Ave N
Seattle, WA 98103-5235
Phone (206) 524-0704

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0000970WAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329609600000",
    "number": "1851664080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 PHINNEY AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035235",
            "telephone_number": "206-524-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 BRIDGE WAY N",
            "address_2": "SUITE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037951",
            "telephone_number": "206-524-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSCHER",
        "first_name": "MARY",
        "middle_name": "LEE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-19",
        "last_updated": "2012-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "0000970",
            "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 Feb 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.