EMILY ANDRESEN PSYD
NPI 1215624333
Psychologist - Clinical in Seattle, WA

Q: What is Emily Andresen's NPI number?

The NPI number for Emily Andresen is 1215624333. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Q: What is Emily Andresen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Emily Andresen enrolled in Medicare?

No. Emily Andresen has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Emily Andresen was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 19, 2023Opted out of Medicare · through Jan 2, 2028

2901 NE BLAKELEY ST STE 3B, SEATTLE, WA 98105(503) 395-4176 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Emily Andresen Psyd NPPES

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

EMILY ANDRESEN PSYD (NPI 1215624333) is an individual clinical provider in Seattle, Washington, licensed in Washington (60194237) and active in the NPI registry since April 2023. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1215624333

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameEMILY ANDRESENCredential: PSYD

Location Address2901 NE BLAKELEY ST STE 3BSeattle, WA 98105-3168

Mailing Address2901 Ne Blakeley St Ste 3bSeattle, WA 98105-3168 · (503) 395-4176

Phone(503) 395-4176

Sole ProprietorYes

Enumeration DateApril 19, 2023

NPPES CertifiedApril 19, 2023

✔ NPI 1215624333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · 60194237

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2901 NE BLAKELEY ST STE 3B, Seattle, WA 98105

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Emily Andresen 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 January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024

Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

DR. AMANDA ERIN BRODY BRYAN PH.D.

Psychologist (Clinical)