Active NPI
Fletcher Brandon Taylor, M.D.
- Psychiatry Physician
- Lynnwood, WA
National Provider Identifier
1902942089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00027472
- Practice address
- 19410 Highway 99 Ste A263
Lynnwood, WA 98036-5102 - Phone
- (253) 212-3101
- Fax
- (253) 212-3225
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00027472 | WA | Primary |
Addresses
Primary practice location
19410 Highway 99 Ste A263
Lynnwood, WA 98036-5102
Mailing address
19410 Highway 99 Ste A263
Lynnwood, WA 98036-5102
Phone (253) 212-3101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 1, 2025 through Aug 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00027472 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Pline, PLLC | Current | Accepting new patients | |
| Commonspirit Washington | Past | Accepting new patients | |
| Commonspirit Washington | Past | Accepting new patients | |
| Western Psychological and Counseling Services LLC | Past | Accepting new patients | |
| Saint Clare Hospital | Past | Accepting new patients |
Locations
2101 4th Ave
Ste 370
Seattle, WA 98121
Phone (206) 771-1753
Interoperability endpoints
- ftaylor17741@fhsce.catholichealth.net
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1649945437
-
dba St. Joseph Medical Center CTA
- Body Imaging Physician
- Tacoma, WA
- NPI 1285682492
-
dba St Joseph Hospital Psychiatric Professional Services
- Psychiatric Hospital Unit
- Tacoma, WA
- NPI 1497978100
-
dba St Clare Professional Psychiatric Services
- Psychiatric Hospital Unit
- Lakewood, WA
- NPI 1871724690
-
dba LifeStance Health
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1902942089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19410 HIGHWAY 99 STE A263",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365102",
"telephone_number": "253-212-3101",
"fax_number": "253-212-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19410 HIGHWAY 99 STE A263",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365102",
"telephone_number": "253-212-3101",
"fax_number": "253-212-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "FLETCHER",
"middle_name": "BRANDON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00027472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.