Active NPI
Jeffrey Lowell Lewis, PH.,D.
- Psychologist
- Federal Way, WA
National Provider Identifier
1972856375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P41716
- Practice address
- 2800 SW 320TH Street
Decatur High School
Federal Way, WA 98003 - Phone
- (253) 945-5243
- Fax
- (253) 945-2177
- NPI assigned
- Oct 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | P41716 | WA | Primary |
Addresses
Primary practice location
2800 SW 320TH Street
Decatur High School
Federal Way, WA 98003
Mailing address
33330 8TH Ave South
Federal Way Public Schools - Student Support Services
Federal Way, WA 98003
Phone (253) 945-2086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P41716 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1972856375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33330 8TH AVE SOUTH",
"address_2": "FEDERAL WAY PUBLIC SCHOOLS - STUDENT SUPPORT SERVICES",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98003",
"telephone_number": "253-945-2086",
"fax_number": "253-945-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 SW 320TH STREET",
"address_2": "DECATUR HIGH SCHOOL",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98003",
"telephone_number": "253-945-5243",
"fax_number": "253-945-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JEFFREY",
"middle_name": "LOWELL",
"credential": "PH.,D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-23",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "P41716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.