DR. CAROLE ANNE CORYELL (NPI# 1558409136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558409136 |
| Entity Type | Individual |
| Full Name | DR. CAROLE ANNE CORYELL |
| Credential | M.S. , PH.D |
| Practice Address |
1715 114th Ave Se Suite 208 Bellevue WA 98004-6945 |
| Mailing Address |
5000 Nw Village Park Dr G-240 Issaquah WA 98027-7875 |
| Practice Telephone | 4252607508 |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LH00004790 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1715 114TH AVE SE SUITE 208 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-6945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023029394 | Kathryn S Deane | Nurse Practitioner | 1715 114th Ave Se, Suite 110, Bellevue, WA 98004-6945 | 2006-08-11 |
| 1508234618 | Amy Rotz | Marriage & Family Therapist | 1715 114th Ave Se, Suite 208, Bellevue, WA 98004-6945 | 2015-09-04 |
| 1578971503 | Lauren Tumbleson | Counselor | 1715 114th Ave Se, Suite 240, Bellevue, WA 98004-6945 | 2014-07-22 |
| 1114261138 | Ginger Dale Hurt | Rehabilitation Counselor | 1715 114th Ave Se, Suite 200, Bellevue, WA 98004-6945 | 2012-11-15 |
| 1447535976 | Amy Allison Myers | Marriage & Family Therapist | 1715 114th Ave Se, Suite 208, Bellevue, WA 98004-6945 | 2011-10-16 |
| 1386945467 | Marc Bachrach | Marriage & Family Therapist | 1715 114th Ave Se, Suite 208, Bellevue, WA 98004-6945 | 2010-11-05 |
| 1699008680 | Kathryn S. Deane Arnp, Pllc | Nurse Practitioner | 1715 114th Ave Se, Suite 110, Bellevue, WA 98004-6945 | 2009-09-09 |
| 1275784720 | Lauren Anne Gray | Marriage & Family Therapist | 1715 114th Ave Se, Suite 208, Bellevue, WA 98004-6945 | 2008-10-02 |
| 1336358092 | Heather Marie Sund | Marriage & Family Therapist | 1715 114th Ave Se, Suite 208, Bellevue, WA 98004-6945 | 2007-05-21 |
| 1376768515 | Steven K. Reed | Psychologist | 1715 114th Ave Se, Suite 200, Bellevue, WA 98004-6945 | 2007-04-14 |
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| 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 |
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| 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 |
|---|---|---|---|---|
| 1033726385 | Shawna Palmer | Psychologist | 16450 Se 48th Pl, Bellevue, WA 98006-5820 | 2020-09-29 |
| 1285175943 | Ata Ul Karim | Psychologist | 1400 112th Ave Se Ste 205, Bellevue, WA 98004-6901 | 2017-03-15 |
| 1053749507 | Access Agency & Connection | Psychologist | 1840 146th Pl Se, Bellevue, WA 98007-6821 | 2013-10-18 |
| 1568770006 | Beth L Murphy | Psychologist | 1715 114th Ave Se Ste 240, Bellevue, WA 98004-6906 | 2010-09-17 |
| 1780905331 | Amber Tabares | Psychologist | 1750 112th Ave Ne Ste D161, Bellevue, WA 98004-3727 | 2010-06-17 |
| 1649508607 | Rebeca Aimee Marin Cordero | Psychologist | 14655 Ne Bel Red Rd Ste 203, Bellevue, WA 98007-3900 | 2009-12-01 |
| 1609019249 | Heather Swanson | Psychologist | 11911 Ne 1st St Ste 208, Bellevue, WA 98005 | 2009-04-13 |
| 1205080041 | Jeri L Schweigler Edd Inc Ps | Psychologist | 1300 116th Ave Ne Ste 102, Bellevue, WA 98004-3820 | 2008-11-06 |
| 1346410750 | Maryetta T Healy | Psychologist | 11911 Ne 1st Street, Suite 206, Bellevue, WA 98005-3032 | 2008-03-03 |
| 1922217389 | Linda R Young | Psychologist | 1607 116th Ave Ne Ste 110, Bellevue, WA 98004-3042 | 2007-05-22 |
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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.