Active NPI
Glen Dawson, PH.D.
- Psychologist
- Seattle, WA
National Provider Identifier
1992176085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY61142927
- Practice address
- 600 1St Ave Ste 102
Seattle, WA 98104-2287 - Phone
- (206) 588-5725
- NPI assigned
- Oct 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | PY61142927 | WA | Primary |
Addresses
Primary practice location
600 1St Ave Ste 102
Seattle, WA 98104-2287
Mailing address
600 1St Ave Ste 102
Seattle, WA 98104-2287
Phone (206) 588-5725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 26, 2026 through Jan 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY61142927 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1992176085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 1ST AVE STE 102",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042287",
"telephone_number": "206-588-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 1ST AVE STE 102",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042287",
"telephone_number": "206-588-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "GLEN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-14",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY61142927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.