Individual provider Active NPI

Fletcher Brandon Taylor, M.D.

  • Psychiatry Physician
  • Lynnwood, WA
National Provider Identifier
1902942089
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00027472 Issued in WA
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

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MD00027472WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Pline, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Commonspirit Washington Past Accepting new patients
Commonspirit Washington Past Accepting new patients
Western Psychological and Counseling Services LLC PastSince Aug 26, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.