DR. BONNY CHANG (NPI# 1275070799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275070799 |
| Entity Type | Individual |
| Full Name | DR. BONNY CHANG |
| Credential | PH.D. |
| Practice Address |
564 Ne Ravenna Blvd Seattle WA 98115 |
| Practice Telephone | 2065272273 |
| Mailing Telephone | 2065272266 |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2019-12-18 |
| NPI Deactivation Date | 03/30/2019 |
| NPI Reactivation Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 60704331 | WA | Behavioral Health & Social Service Providers |
| Street Address |
564 NE RAVENNA BLVD |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043320948 | James Young Aultman | Social Worker | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2006-08-30 |
| 1386280238 | Mary Kathleen Brennan | Social Worker | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2019-11-25 |
| 1225683683 | Grace Stephanie Jeanne Carpenter | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2019-08-02 |
| 1457731580 | Kristen Rene Moss | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2015-06-03 |
| 1780089540 | Anna Anderson | Marriage & Family Therapist | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2014-10-22 |
| 1366881500 | Matthew Stuart Percy | Psychologist | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2013-06-20 |
| 1780922757 | James Howard Ramsey | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2013-01-24 |
| 1205190162 | Heidi Nicole Gray | Marriage & Family Therapist | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2012-06-26 |
| 1851669956 | Joshua Aaron Ensley | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2011-12-05 |
| 1912281171 | Anthony Barr-jeffrey | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2011-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
| Find all providers in zip 98115 | ||||
| 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 |
|---|---|---|---|---|
| 1124638333 | Natalie Elyse Schwartz | Psychologist | 928 Nw 52nd St Unit A, Seattle, WA 98107-3648 | 2020-08-03 |
| 1679116321 | Aspinwall Therapy and Assessment LLC | Psychologist | 2470 Westlake Ave N Ste 101, Seattle, WA 98109-2282 | 2019-10-25 |
| 1285299354 | Herlina Pranata | Psychologist | 1565 Cherrylane Ave S, Seattle, WA 98144-3521 | 2019-05-04 |
| 1083184550 | Robert A Beattey Jr. | Psychologist | 910 10th Ave E Apt 205, Seattle, WA 98102-4556 | 2018-11-27 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1497263859 | Leah Boisen | Psychologist | 226 Summit Ave E Ste 203, Seattle, WA 98102-5619 | 2018-01-18 |
| 1578073649 | Michelle A Proulx | Psychologist | 614 W Mcgraw St # 202, Seattle, WA 98119-2888 | 2017-10-03 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1427571652 | Cory David Secrist | Psychologist | 1417 Nw 54th St Ste 372, Seattle, WA 98107-3575 | 2017-07-19 |
| 1215464953 | Natalie Goodwin | Psychologist | 1127 10th Ave E Ste 2, Seattle, WA 98102-4377 | 2017-05-12 |
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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.