ALAN R. BREEN, PHD, PLLC (NPI# 1255787701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255787701 |
| Entity Type | Organization |
| Organization Name | ALAN R. BREEN, PHD, PLLC |
| Practice Address |
411 12th Ave Ste 305 Seattle WA 98122 |
| Practice Telephone | 2068600860 |
| Practice Fax Number | 2068929785 |
| Mailing Telephone | 2068600860 |
| Mailing Fax Number | 2068929785 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |
| Authorized Official Name | DR. ALAN R BREEN (PSYCHOLOGIST) |
| Authorized Official Telephone | 2068600860 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 882 | WA | Behavioral Health & Social Service Providers |
| Street Address |
411 12TH AVE STE 305 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749990 | Center for Prosthetics Orthotics, Inc. | Specialist | 411 12th Ave, Seattle, WA 98122-5577 | 2005-06-10 |
| 1376084608 | Christina Minh | Prosthetist | 411 12th Ave, Suite 200, Seattle, WA 98122-5577 | 2017-03-20 |
| 1790115004 | Kevin John Clark | Orthotist | 411 12th Ave, Suite 200, Seattle, WA 98122-5599 | 2013-11-22 |
| 1912336025 | Center for Prosthetics Orthotics, Inc. | Prosthetic/Orthotic Supplier | 411 12th Ave, Suite 200, Seattle, WA 98122-5599 | 2013-11-08 |
| 1144654237 | Sharon J Lee | Orthotist | 411 12th Ave, Suite 200, Seattle, WA 98122-5599 | 2013-08-26 |
| 1003108804 | Gregory T Ferguson | Specialist | 411 12th Ave, Suite 200, Seattle, WA 98122-5599 | 2011-05-11 |
| 1255667143 | Julie Lund Schaar | Specialist | 411 12th Ave, Suite 200, Seattle, WA 98122-5599 | 2009-10-27 |
| 1821271909 | Rhea Kulikova | Specialist | 411 12th Ave, Seattle, WA 98122-5577 | 2007-12-11 |
| 1790975241 | David Tweedy | Specialist | 411 12th Ave, Seattle, WA 98122-5577 | 2007-07-31 |
| 1508056599 | David Varnau | Specialist | 411 12th Ave, Seattle, WA 98122-5577 | 2007-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| 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 |
|---|---|---|---|---|
| 1083781348 | David Martin White | Clinical Neuropsychologist | 150 Nickerson St Ste 104, Seattle, WA 98109-1634 | 2006-11-29 |
| 1659482578 | Phyllis Sanchez | Clinical Neuropsychologist | 1402 3rd Ave, Ste. 624, Seattle, WA 98101-2195 | 2006-08-31 |
| 1003429721 | Madison Bertolin | Clinical Neuropsychologist | 415 1st Ave N Ste 200, Seattle, WA 98109-4765 | 2020-08-24 |
| 1437791613 | Gabrielle Alvarez | Clinical Neuropsychologist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-10-09 |
| 1114456035 | Nickolas Arion Dasher | Clinical Neuropsychologist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2017-06-05 |
| 1285011783 | Natalia Kleinhans | Clinical Neuropsychologist | 325 9th Ave, Box 357115, Seattle, WA 98104-2420 | 2015-05-04 |
| 1801209986 | Katherine S Bowen | Clinical Neuropsychologist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-06-06 |
| 1871843680 | Sarah K. Noonan | Clinical Neuropsychologist | 1660 S Columbian Way, Rcs-117, Seattle, WA 98108-1532 | 2012-09-19 |
| 1205129210 | Kenneth L Kassover | Clinical Neuropsychologist | 4300 Aurora Ave N, Suite 100, Seattle, WA 98103-7379 | 2011-05-24 |
| 1386946911 | Pamela M Dean | Clinical Neuropsychologist | 1660 S Columbian Way, Va Puget Sound Healthcare System, Seattle Division, Seattle, WA 98108-1532 | 2010-12-02 |
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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.