DR. GAYLE LEE FAY (NPI# 1720126980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720126980 |
| Entity Type | Individual |
| Full Name | DR. GAYLE LEE FAY |
| Credential | PH.D. |
| Practice Address |
2227 112th Ave Ne Suite 101 Bellevue WA 98004-2953 |
| Practice Telephone | 4254528036 |
| Practice Fax Number | 4254528038 |
| Mailing Telephone | 4254528036 |
| Mailing Fax Number | 4254528038 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 649 | WA | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 649 | WA | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
649 | WA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
649 | WA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
649 | WA | Behavioral Health & Social Service Providers |
| X | 103TF0200X |
Psychologist Specialization: Forensic |
649 | WA | Behavioral Health & Social Service Providers |
| X | 103TH0100X |
Psychologist Specialization: Health Service |
649 | WA | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
649 | WA | Behavioral Health & Social Service Providers |
| X | 103TR0400X |
Psychologist Specialization: Rehabilitation |
649 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CAQH | 11569525 | 01 |
| Street Address |
2227 112TH AVE NE SUITE 101 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477932226 | Terrell Powell | Counselor | 2227 112th Ave Ne, Suite 202, Bellevue, WA 98004-2953 | 2015-05-27 |
| 1427454503 | Ariel Caspe-detzer | Counselor | 2227 112th Ave Ne, Suite 202, Bellevue, WA 98004-2953 | 2014-11-17 |
| 1306240114 | Brittany Foxley | Counselor | 2227 112th Ave Ne, Suite 202, Bellevue, WA 98004 | 2014-10-22 |
| 1780854356 | Northwest Neuropsychology Learning and Behavioral Services | Clinic/Center | 2227 112th Ave Ne, Suite 202, Bellevue, WA 98004-2953 | 2008-03-10 |
| 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 |
| Find all providers in zip 98004 | ||||
| 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 |
| 1508289299 | Neuropsychology and Cognitive Health | Clinical Neuropsychologist | 1808 Richards Rd #120, Bellevue, WA 98005-3982 | 2014-01-30 |
| 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 | ||||
Please comment or provide details below to improve the information on DR. GAYLE LEE FAY.
| 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.