=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942035225
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WINGFIELD PSYCHIATRY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/05/2024
-----------------------------------------------------
Last Update Date | 09/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3832 CALIFORNIA AVE SW
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98116-3704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-588-5215
-----------------------------------------------------
Fax | 206-785-8078
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3832 CALIFORNIA AVE SW
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98116-3704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-588-5215
-----------------------------------------------------
Fax | 206-785-8078
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHIATRIST
-----------------------------------------------------
Name | DR. EMILY JANE WINGFIELD
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 206-588-5215
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------