MEDICARE: WINGFIELD PSYCHIATRY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1942035225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINGFIELD PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	3832 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3704
Country	:	US
Telephone Number	:	206-588-5215
Fax Number	:	206-785-8078

Provider Business Practice Location Address
First Line	:	3832 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3704
Country	:	US
Telephone Number	:	206-588-5215
Fax Number	:	206-785-8078

Authorized Official
Title or Position	:	PSYCHIATRIST
Name	:	DR. EMILY JANE WINGFIELD
Credential	:	MD
Telephone Number	:	206-588-5215

Provider Enumeration Date	:	09/05/2024
Last Update Date	:	09/17/2025

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