COGWHEEL CLINIC FOR NEURODEVELOPMENT (NPI# 1194193698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194193698 |
| Entity Type | Organization |
| Organization Name | COGWHEEL CLINIC FOR NEURODEVELOPMENT |
| Practice Address |
2101 112th Ave Ne Suite 100 Bellevue WA 98004-2944 |
| Practice Telephone | 4257487000 |
| Mailing Telephone | 4257487000 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Authorized Official Name | DR. DANIELA FERDICO (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4257487000 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY00002463 | WA | Behavioral Health & Social Service Providers |
| Street Address |
2101 112TH AVE NE SUITE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710372412 | Daniela Ferdico | Clinical Neuropsychologist | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2015-03-31 |
| 1316473820 | Kelly Lee | Behavior Technician | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2017-05-03 |
| 1639628118 | Megan Lin Pattee | Speech-Language Pathologist | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2016-09-26 |
| 1326492778 | Breana Werth | Occupational Therapist | 2101 112th Ave Ne, #100, Bellevue, WA 98004-2944 | 2016-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710372412 | Daniela Ferdico | Clinical Neuropsychologist | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2015-03-31 |
| 1508289299 | Neuropsychology and Cognitive Health | Clinical Neuropsychologist | 1808 Richards Rd #120, Bellevue, WA 98005-3982 | 2014-01-30 |
| 1720126980 | Gayle Lee Fay | Clinical Neuropsychologist | 2227 112th Ave Ne, Suite 101, Bellevue, WA 98004-2953 | 2007-02-01 |
| 1700995255 | Quality Living Inc | Clinical Neuropsychologist | 2102 Harvell Circle, Bellevue, NE 68005 | 2006-08-29 |
| 1972926129 | Joni Tudor Howard | Clinical Neuropsychologist | 11911 Ne 1st St Ste 208, Bellevue, WA 98005 | 2014-01-23 |
| 1316293681 | Nels Harold Magelssen | Clinical Neuropsychologist | 11522 Ne 21st St, Bellevue, WA 98004-3025 | 2012-07-24 |
| 1821138579 | Betty L. Jones | Clinical Neuropsychologist | 2025 112th Ave Ne, Suite 201, Bellevue, WA 98004-2943 | 2007-02-08 |
| 1174662381 | Monique Renee Lowe | Clinical Neuropsychologist | 1300 114th Ave Se, Suite 102, Bellevue, WA 98004-6942 | 2007-02-05 |
| 1992872139 | Martha Louise Glisky | Clinical Neuropsychologist | 1808 Richards Rd, Suite 120, Bellevue, WA 98005-3982 | 2006-11-30 |
| 1992898282 | Bill Ray Ekemo | Clinical Neuropsychologist | 2300 130th Ave Ne, Suite 211, Bellevue, WA 98005-1755 | 2006-10-01 |
| Find all providers in BELLEVUE | ||||
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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.