NEUROPSYCHOLOGY AND COGNITIVE HEALTH (NPI# 1508289299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508289299 |
| Entity Type | Organization |
| Organization Name | NEUROPSYCHOLOGY AND COGNITIVE HEALTH |
| Other Organization Name | NEUROPSYCHOLOGY AND COGNITIVE HEALTH, INC |
| Practice Address |
1808 Richards Rd #120 Bellevue WA 98005-3982 |
| Practice Telephone | 4255028341 |
| Practice Fax Number | 4255028731 |
| Mailing Telephone | 4255028341 |
| Mailing Fax Number | 4255028731 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | JO A. ASBURY (CREDENTIALING ASSISTANT) |
| Authorized Official Telephone | 4259033783 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY00002466 | WA | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | PY00002466 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8382822 | 05 |
| Other Name | Type Code |
|---|---|
| Neuropsychology and Cognitive Health, Inc | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NEUROPSYCHOLOGY AND COGNITIVE HEALTH CORPORATION | 1808 Richards Rd Ste 120, Bellevue, WA 98005-3982 |
| Street Address |
1808 RICHARDS RD #120 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| 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 |
| 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 |
| 1194193698 | Cogwheel Clinic for Neurodevelopment | Clinical Neuropsychologist | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2015-09-14 |
| 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.