DR. ANDREW JORDAN THAYER PH.D., LP
NPI 1902415342
Psychologist - Clinical Child & Adolescent in Seattle, WA

Q: What is Andrew Thayer's NPI number?

The NPI number for Andrew Thayer is 1902415342. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Q: What is Andrew Thayer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Thayer was last updated on December 20, 2022. 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 July 30, 2020

509 OLIVE WAY STE 204, SEATTLE, WA 98101(307) 751-5025 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2022, Jul 30, 2020 (2 updates tracked since 2020).

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About Dr. Andrew Jordan Thayer Ph.d., Lp NPPES

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

DR. ANDREW JORDAN THAYER PH.D., LP (NPI 1902415342) is an individual clinical child & adolescent provider in Seattle, Washington, licensed in Washington (PY61194044) and active in the NPI registry since July 2020. He maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1902415342

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. ANDREW JORDAN THAYERCredential: PH.D., LP

Location Address509 OLIVE WAY STE 204Seattle, WA 98101-1726

Mailing Address509 Olive Way Ste 204Seattle, WA 98101-1726 · (307) 751-5025

Phone(307) 751-5025

Sole ProprietorYes

Enumeration DateJuly 30, 2020

Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration

NPPES CertifiedDecember 20, 2022

✔ NPI 1902415342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in WA · PY61194044

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 12174 (NE)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY61194044 (WA)

509 OLIVE WAY STE 204, Seattle, WA 98101

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Secondary Practice Location 1

Location 1444 S 44th StOmaha, NE 68131-3727 · Phone (402) 559-6408 · Fax (402) 559-5737

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.

VANESSA G DZIVAKWE PHD

Psychologist