Organization Active NPI

Slaughter & Slaughter Therapeutics, PLLC

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1912254913
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60075756 Issued in WA
Legal business name
SLAUGHTER & SLAUGHTER THERAPEUTICS, PLLC
Doing business as
IPSS
Integrative Psychological Services of Seattle
Practice address
3429 Fremont Ave N Ste 317
Seattle, WA 98103-8811
Phone
(206) 300-2452
Fax
(206) 567-1212
NPI assigned
Aug 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Samantha Lea Slaughter
Title
Ceo
Phone
(206) 300-2452

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY60075756 WA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT60265736 WA

Addresses

Primary practice location

3429 Fremont Ave N Ste 317
Seattle, WA 98103-8811

Mailing address

3429 Fremont Ave N Ste 317
Seattle, WA 98103-8811
Phone (206) 300-2452

Other names 2

  • IPSS Doing business as
  • Integrative Psychological Services of Seattle Doing business as

National Provider Directory

National Provider Directory

Locations

3429 Fremont Ave N
Ste 317
Seattle, WA 98103
Phone (206) 300-2452

3429 Fremont Ave N
Ste 305
Seattle, WA 98103
Phone (206) 300-2452

631 Strander Blvd
Ste G
Tukwila, WA 98188
Phone (206) 717-4594

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1912254913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 FREMONT AVE N STE 317",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038811",
            "telephone_number": "206-300-2452",
            "fax_number": "206-567-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 FREMONT AVE N STE 317",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038811",
            "telephone_number": "206-300-2452",
            "fax_number": "206-567-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLAUGHTER & SLAUGHTER THERAPEUTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-300-2452"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60075756",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60265736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IPSS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrative Psychological Services of Seattle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 20, 2020; 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.