Healthcare Provider Details

I. General information

NPI: 1528971009
Provider Name (Legal Business Name): JOANNA STAGG, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 S ORCAS ST
SEATTLE WA
98118-2561
US

IV. Provider business mailing address

5150 S ORCAS ST
SEATTLE WA
98118-2561
US

V. Phone/Fax

Practice location:
  • Phone: 206-580-3160
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JOANNA STAGG
Title or Position: OWNER
Credential: MA, PSYD, LP
Phone: 206-580-3160