Active NPI
Siobhan Budwey PHD, PLLC
- Clinical Psychologist
- Olympia, WA
National Provider Identifier
1932579364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60302520
- Legal business name
- SIOBHAN BUDWEY PHD, PLLC
- Doing business as
- Siobhan Budwey, PhD
- Practice address
- 324 W Bay Dr NW
Suite 220
Olympia, WA 98502-4926 - Phone
- (360) 972-5127
- Fax
- (360) 359-7708
- NPI assigned
- Sep 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Siobhan Budwey, PHD
- Title
- Owner/Licensed Psychologist
- Phone
- (360) 972-5127
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60302520 | WA | Primary |
Addresses
Primary practice location
324 W Bay Dr NW
Suite 220
Olympia, WA 98502-4926
Mailing address
324 W Bay Dr NW
Suite 220
Olympia, WA 98502-4926
Phone (360) 972-5127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2038219 | Medicaid | WA |
Other names 1
- Siobhan Budwey, PhD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- Olympia, WA
- NPI 1992954606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443398400000",
"number": "1932579364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 W BAY DR NW",
"address_2": "SUITE 220",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985024926",
"telephone_number": "360-972-5127",
"fax_number": "360-359-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 W BAY DR NW",
"address_2": "SUITE 220",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985024926",
"telephone_number": "360-972-5127",
"fax_number": "360-359-7708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIOBHAN BUDWEY PHD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-28",
"last_updated": "2015-09-28",
"status": "A",
"authorized_official_last_name": "BUDWEY",
"authorized_official_first_name": "SIOBHAN",
"authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "360-972-5127",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60302520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2038219",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Siobhan Budwey, PhD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.