Individual provider Active NPI

Catherine Jackson Kuniyoshi, MD

  • Child & Adolescent Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1962591479
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD00046470 Issued in WA
Practice address
1501 Western Ave Ste 110
Seattle, WA 98101-3500
Phone
(206) 405-3600
Fax
(206) 405-3604
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD00046470 WA Primary

Addresses

Primary practice location

1501 Western Ave Ste 110
Seattle, WA 98101-3500

Mailing address

1501 Western Ave Ste 110
Seattle, WA 98101-3500
Phone (206) 405-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 12, 2018 through Mar 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00046470WAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1962591479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WESTERN AVE STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013500",
            "telephone_number": "206-405-3600",
            "fax_number": "206-405-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WESTERN AVE STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013500",
            "telephone_number": "206-405-3600",
            "fax_number": "206-405-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNIYOSHI",
        "first_name": "CATHERINE",
        "middle_name": "JACKSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD00046470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.