LAWRENCE WISSOW M.D.
NPI 1760428742
Psychiatry & Neurology - Child & Adolescent Psychiatry in Seattle, WA

Active since June 20, 2006PECOS Enrolled
4800 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-0000 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawrence Wissow M.d. NPPES

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

LAWRENCE WISSOW M.D. (NPI 1760428742) is an individual child & adolescent psychiatry provider in Seattle, Washington, licensed in Washington (MD60909909) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760428742
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameLAWRENCE WISSOWCredential: M.D.
Location Address4800 SAND POINT WAY NESeattle, WA 98105-3901
Mailing Address4800 Sand Point Way NeSeattle, WA 98105-3901 · (206) 987-0000
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateFebruary 13, 2019
NPI 1760428742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in WA · MD60909909
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
4800 SAND POINT WAY NE, Seattle, WA 98105

Other Identifiers 1

Medicaid1760428742WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lawrence Wissow M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105

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 Lawrence Wissow's NPI number?

The NPI number for Lawrence Wissow is 1760428742. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Lawrence Wissow located?

Lawrence Wissow practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-0000.

What is Lawrence Wissow's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Lawrence Wissow enrolled in Medicare?

Yes. Lawrence Wissow is registered in the Medicare PECOS enrollment system.

What insurance does Lawrence Wissow accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Lawrence Wissow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lawrence Wissow was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.