Philip A Hennessey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60771962 Issued in WA

Practice address

1511 3Rd Ave Ste 807
Seattle, WA 98101-1689

Phone

(206) 333-4656

Fax

(253) 449-0727

NPI assigned

Jul 10, 2017

Last updated

Oct 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Better Tomorrow Psychiatry Group, PLLC

  • Psychiatry Physician
  • Seattle, WA
  • NPI 1588591820
  NPD Authorized official
• Better Tomorrow Psychiatry, PLLC

  • Adult Mental Health Clinic/Center
  • Seattle, WA
  • NPI 1982469987
  NPD Authorized official
• Pacific Islamic Community and Cultural Services

  dba PICACS Clinic

  • Community/Behavioral Health Agency
  • Bothell, WA
  • NPI 1467905695
  Medicare reassignment

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1992227110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 3RD AVE STE 807",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011689",
            "telephone_number": "206-333-4656",
            "fax_number": "253-449-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 3RD AVE STE 807",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011689",
            "telephone_number": "206-333-4656",
            "fax_number": "253-449-0727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 1st Ave W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981194223",
            "country_code": "US",
            "telephone_number": "206-333-4656",
            "fax_number": "253-449-0727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "PHILIP",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60771962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayana Henley
• Blake Eleanor Henley
• Michael Bradford Henley, MD
• Kate Hennes
• Kelly Anne Hennessey, MD
• Daniel Jonathan Henning, M.D.
• Kassandra Henning, RN
• Margery J. Henning, MS, OTR/L
• Phillip Troy Henning, DO
• Therese A Henning, LMP

• Physician Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.