DR. SHELLEY L. MACKAMAN (NPI# 1528271723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528271723 |
| Entity Type | Individual |
| Full Name | DR. SHELLEY L. MACKAMAN |
| Credential | PH.D. |
| Practice Address |
8301 161st Ave Ne Suite 300 Redmond WA 98052-3858 |
| Practice Telephone | 4258853330 |
| Practice Fax Number | 4257022474 |
| Mailing Telephone | 4258853330 |
| Mailing Fax Number | 4257022474 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY00002353 | WA | Behavioral Health & Social Service Providers |
| Street Address |
8301 161ST AVE NE SUITE 300 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099722 | Sharon K Hempler | Pediatrics | 8301 161st Ave Ne, #204, Redmond, WA 98052-3858 | 2005-08-02 |
| 1598211690 | Andrea Robinson | Audiologist | 8301 161st Ave Ne, #208, Redmond, WA 98052-3858 | 2016-08-29 |
| 1750836599 | Amanda Parker | Speech-Language Pathologist | 8301 161st Ave Ne, #208, Redmond, WA 98052-3858 | 2016-08-22 |
| 1093166563 | Dr Alan Nohr & Associates | Dentist | 8301 161st Ave Ne, #303, Redmond, WA 98052-3858 | 2016-06-27 |
| 1689083123 | Jessica Lasser | Speech-Language Pathologist | 8301 161st Ave Ne, #208, Redmond, WA 98052-3858 | 2014-08-08 |
| 1265781082 | Lindsay Bley | Speech-Language Pathologist | 8301 161st Ave Ne, #208, Redmond, WA 98052-3858 | 2012-09-07 |
| 1922354125 | Sarah Snider | Speech-Language Pathologist | 8301 161st Ave Ne, 208, Redmond, WA 98052-3858 | 2012-07-25 |
| 1104183722 | Marcia Houdek Jimenez, Ph.d. | Psychologist | 8301 161st Ave Ne, Ste 300, Redmond, WA 98052-3858 | 2012-04-20 |
| 1154699924 | Primary Care Redmond, Pllc | Clinic/Center | 8301 161st Ave Ne, Suite 100, Redmond, WA 98052-3858 | 2011-12-08 |
| 1124324611 | Micheal Patrick Blizniak | Physical Therapist | 8301 161st Ave Ne, Suite 103, Redmond, WA 98052-3858 | 2011-02-01 |
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|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
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| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992859532 | Lewis E. Humphreys | Psychologist | 15446 Bel Red Rd, Redmond, WA 98052-5501 | 2007-01-22 |
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|---|---|---|---|---|
| 1104477322 | Reclaim Counseling Associates LLC | Psychologist | 1610 Grover St Ste B10, Lynden, WA 98264-1539 | 2019-09-28 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1700396652 | Multicare Health System | Psychologist | 1706 S Meridian Ste 120, Puyallup, WA 98371-7516 | 2017-10-05 |
| 1427417880 | Lord Psychological Services, LLC | Psychologist | 826 102nd Ave Ne, #400, Bellevue, WA 98004-4162 | 2016-02-14 |
| 1689060964 | Anne Bernard Arnett | Psychologist | Chdd Uw, Seattle, WA 98195-0001 | 2015-04-13 |
| 1982033940 | Elizabeth J. Wasson | Psychologist | 4033 E Madison St Ste 203, Seattle, WA 98112-3104 | 2013-11-10 |
| 1851655971 | Sarah Peregrine Lord | Psychologist | 826 102nd Ave Ne Ste 400, Bellevue, WA 98004-4158 | 2012-07-03 |
| 1053695023 | Kristina C. Kwon | Psychologist | 365 118th Ave Se Ste 118, Bellevue, WA 98005-3557 | 2011-10-07 |
| 1992099618 | Chitra Iyer | Psychologist | 15027 Bel Red Rd, Bellevue, WA 98007-4211 | 2011-05-31 |
| 1669700662 | Sol Case Management | Psychologist | 117 S. 3rd Ave., Pasco, WA 99301 | 2009-12-02 |
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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.