DR. LYNETTE ANN WYATT LEWIS PSYD
NPI 1144856394
Psychologist in Bothell, WA

Active since March 19, 2020Opted out of Medicare · through Oct 10, 2027
19803 N CREEK PKWY STE 205, BOTHELL, WA 98011(425) 563-5213 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lynette Ann Wyatt Lewis Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LYNETTE ANN WYATT LEWIS PSYD (NPI 1144856394) is an individual psychologist in Bothell, Washington, licensed in Washington (PY60716145) and active in the NPI registry since March 2020. She has opted out of Medicare through October 10, 2027.

NPPES Registry Identity

NPI1144856394
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LYNETTE ANN WYATT LEWISCredential: PSYD
Location Address19803 N CREEK PKWY STE 205Bothell, WA 98011-5014
Mailing Address1202 200th Pl SeBothell, WA 98012-7749 · (425) 563-5213
Sole ProprietorYes
Enumeration DateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
NPI 1144856394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY60716145
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
19803 N CREEK PKWY STE 205, Bothell, WA 98011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Lynette Ann Wyatt Lewis Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 10, 2025 through October 10, 2027.

Opt-Out Effective DateOctober 10, 2025
Opt-Out In Effect ThroughOctober 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
19803 N CREEK PKWY STE 205
BOTHELL, WA 98011
Nurse Practitioner
19803 N CREEK PKWY STE 205
BOTHELL, WA 98011
Counselor (Mental Health)
19803 N CREEK PKWY STE 205
BOTHELL, WA 98011
Psychologist
19803 N CREEK PKWY STE 205
BOTHELL, WA 98011
Nurse Practitioner (Psychiatric/Mental Health)
19803 N CREEK PKWY STE 205
BOTHELL, WA 98011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynette Lewis's NPI number?

The NPI number for Lynette Lewis is 1144856394. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Lynette Lewis located?

Lynette Lewis practices at 19803 N Creek Pkwy Ste 205, Bothell, WA 98011. The listed phone number is (425) 563-5213.

What is Lynette Lewis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lynette Lewis enrolled in Medicare?

No. Lynette Lewis has opted out of Medicare through October 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lynette Lewis was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.