Individual provider Active NPI

Lee Anthony Kearns, PSY D

  • Clinical Neuropsychologist
  • Everett, WA
National Provider Identifier
1902071574
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
3525 Colby Ave Ste 200
Everett, WA 98201-4782
Phone
(425) 259-1366
Fax
(425) 252-4778
NPI assigned
Apr 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X Primary

Addresses

Primary practice location

3525 Colby Ave Ste 200
Everett, WA 98201-4782

Mailing address

3525 Colby Ave Ste 200
Everett, WA 98201-4782
Phone (425) 259-1366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Access Neuropsychology Northwest Clinical Neuropsychologist CurrentSince Jul 28, 2025 Accepting new patients

Locations

3525 Colby Ave
Ste 211
Everett, WA 98201
Phone (425) 999-6945

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1902071574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 COLBY AVE STE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014782",
            "telephone_number": "425-259-1366",
            "fax_number": "425-252-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 COLBY AVE STE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014782",
            "telephone_number": "425-259-1366",
            "fax_number": "425-252-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "LEE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.