Dr Andrew Jordan Thayer, PHD, LP is a
Psychologist - Clinical Child & Adolescent based in Seattle, Washington. Dr Andrew Jordan Thayer is licensed to practice in Washington (license number PY61194044) and his current practice location is
509 Olive Way Ste 204, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(307) 751-5025.
NPI number for Dr Andrew Jordan Thayer is 1902415342 and his current mailing address is 509 Olive Way Ste 204, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902415342.
Healthcare Provider's Profile
| Full Name | Dr Andrew Jordan Thayer |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 509 Olive Way Ste 204, Seattle, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902415342
- Provider Enumeration Date: 07/30/2020
- Last Update Date: 12/20/2022
Medical Identifiers
Medical identifiers for Dr Andrew Jordan Thayer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902415342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 12174 (Nebraska) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY61194044 (Washington) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY61194044 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Andrew Jordan Thayer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Andrew Jordan Thayer, PHD, LP
509 Olive Way Ste 204,
Seattle, WA 98101-1726
Ph: (307) 751-5025 | Dr Andrew Jordan Thayer, PHD, LP
509 Olive Way Ste 204,
Seattle, WA 98101-1726
Ph: (307) 751-5025 |
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