Healthcare Provider Details

I. General information

NPI: 1801255336
Provider Name (Legal Business Name): CADEN WAYNE JONES PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CHANNIEL ELIZABETH JONES

II. Dates (important events)

Enumeration Date: 02/11/2016
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 112TH AVE NE STE 100
BELLEVUE WA
98004-2951
US

IV. Provider business mailing address

426 FERNDALE AVE NE
RENTON WA
98056-4002
US

V. Phone/Fax

Practice location:
  • Phone: 425-233-0739
  • Fax:
Mailing address:
  • Phone: 360-836-0789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY.70026957
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: