Gretchen Woodworth Carlson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00039200 Issued in WA

Practice address

1300 114TH Ave SE
Suite 102
Bellevue, WA 98004-6942

Phone

(425) 454-2835

Fax

(425) 454-2315

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Pittsburgh School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Enlighten TMS LLC

  • Adult Mental Health Clinic/Center
  • Bellevue, WA
  • NPI 1427698141
  NPD Authorized official
• Gretchen W Carlson Inc

  • Adult Mental Health Clinic/Center
  • Northampton, MA
  • NPI 1235826835
  NPD Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1942319785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 114TH AVE SE",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046942",
            "telephone_number": "425-454-2835",
            "fax_number": "425-454-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 114TH AVE SE",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046942",
            "telephone_number": "425-454-2835",
            "fax_number": "425-454-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "GRETCHEN",
        "middle_name": "WOODWORTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00039200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla J Bauman MD PS
• Carla J. Bauman, MD
• Veronica Coromoto Carles
• Casey A Carlos, MD
• Cheyanna Mae Carlson, LMP
• Hannah Carlson
• Jeff Robert Carlson, MSPT
• Keith Cameron Carlson, MD
• Carlson, Ray & Associates, PS, Inc.
• Tasheena Carlson

• Psychiatry Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.