BETHANY BALKUS (NPI# 1154786747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154786747 |
| Entity Type | Individual |
| Full Name | BETHANY BALKUS |
| Credential | PSY. D, L.P. |
| Practice Address |
10634 E Riverside Dr Bothell WA 98011 |
| Practice Telephone | 4258065021 |
| Mailing Telephone | 4258065021 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2016-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY 60422467 | WA | Behavioral Health & Social Service Providers |
| Street Address |
10634 E RIVERSIDE DR |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649461740 | Center for Assessment & Therapy Services Ps | Psychiatry & Neurology | 10634 E Riverside Dr, Suite 130, Bothell, WA 98011-3757 | 2007-08-05 |
| 1669938536 | Pan Pacific Health Pplc | Psychiatry & Neurology | 10634 E Riverside Dr, Bothell, WA 98011-3757 | 2019-02-15 |
| 1134674930 | Asha Madsen-humeniuk | Counselor | 10634 E Riverside Dr, Suite 130, Bothell, WA 98011-3757 | 2016-08-22 |
| 1952854671 | Sanela Mattiuz | Student in an Organized Health Care Education/Training Program | 10634 E Riverside Dr, Suite 130, Bothell, WA 98011-3757 | 2016-07-28 |
| 1467905695 | Pacific Islamic Community and Cultural Services | Community/Behavioral Health | 10634 E Riverside Dr, Suite 300, Bothell, WA 98011-3757 | 2016-07-23 |
| 1609258300 | Ahmed Elshafei | Psychiatry & Neurology | 10634 E Riverside Dr, Bothell, WA 98011-3757 | 2015-06-18 |
| 1841677655 | Puget Sound Psychiatric Center | Psychiatry & Neurology | 10634 E Riverside Dr, Ste. 130, Bothell, WA 98011-3757 | 2015-04-30 |
| 1366736670 | Narayan Chaudhary | Psychiatry & Neurology | 10634 E Riverside Dr, Suite 130, Bothell, WA 98011-3757 | 2011-06-03 |
| 1114254729 | Puget Sound Psychiatric Center, Ps | Psychiatry & Neurology | 10634 E Riverside Dr, Suite 130, Bothell, WA 98011-3757 | 2009-11-03 |
| 1669611380 | Tatyana B Peck | Physician Assistant | 10634 E Riverside Dr, Suite 130, Bothell, WA 98011-3757 | 2009-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841828449 | Ellen Mcmahon | Psychologist | 22232 17th Ave Se Ste 302, Bothell, WA 98021-7425 | 2020-03-30 |
| 1144856394 | Lynette Ann Wyatt Lewis | Psychologist | 19803 N Creek Pkwy Ste 205, Bothell, WA 98011-5014 | 2020-03-19 |
| 1124653720 | Kristen Janel Kvamme | Psychologist | 19125 N Creek Pkwy, Bothell, WA 98011-8035 | 2020-03-04 |
| 1447611066 | Marc Fowler | Psychologist | 3330 Monte Villa Pkwy, Bothell, WA 98021-8972 | 2016-03-09 |
| 1508016866 | Melissa Doreen Baker | Psychologist | 10414 Beardslee Blvd Ste 100, Bothell, WA 98011-3205 | 2008-09-23 |
| 1396824405 | Susan M. Carey | Psychologist | 22010 17th Ave Se, Suite A, Bothell, WA 98021-8486 | 2006-11-02 |
| 1528149812 | Daniel D. Hartman | Psychologist | 22010 17th Ave Se, Suite A, Bothell, WA 98021-8486 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726385 | Shawna Palmer | Psychologist | 16450 Se 48th Pl, Bellevue, WA 98006-5820 | 2020-09-29 |
| 1124638333 | Natalie Elyse Schwartz | Psychologist | 928 Nw 52nd St Unit A, Seattle, WA 98107-3648 | 2020-08-03 |
| 1346865938 | Rooted Psychology | Psychologist | 2109 W Dolarway Rd, Ellensburg, WA 98926-9367 | 2020-06-10 |
| 1194355149 | Hillary Schaefer | Psychologist | 10503 83rd Ave Sw, Lakewood, WA 98498-5662 | 2020-01-17 |
| 1679118434 | Huanyi Liu | Psychologist | 14910 Pacific Ave S, Tacoma, WA 98444-4657 | 2019-11-14 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1679116321 | Aspinwall Therapy and Assessment LLC | Psychologist | 2470 Westlake Ave N Ste 101, Seattle, WA 98109-2282 | 2019-10-25 |
| 1851933105 | Joshua Ireland | Psychologist | 307 W Cota St, Shelton, WA 98584-2265 | 2019-10-08 |
| 1932759842 | Kevin James Mckittrick | Psychologist | 317 M.l.k. Jr. Way, Tacoma, WA 98403-0214 | 2019-09-13 |
| 1972160265 | Ariel Larson Clinical Psychology | Psychologist | 1155 N State St Ste 316, Bellingham, WA 98225-5024 | 2019-05-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.