Active NPI
Lee Anthony Kearns, PSY D
- Clinical Neuropsychologist
- Everett, WA
National Provider Identifier
1902071574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- 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
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 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Neuropsychology Northwest | Clinical Neuropsychologist | Current | 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.
-
- Clinical Neuropsychologist
- Everett, WA
- NPI 1225920424
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.