IRVING J KOHLBERG


Address: 1300 114th Ave Se, Suite 115, Bellevue, WA 98004-6942
Phone: 4254629511

IRVING J KOHLBERG (NPI# 1851465959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851465959
Entity Type Individual
Full Name IRVING J KOHLBERG
Credential MD
Practice Address 1300 114th Ave Se
Suite 115
Bellevue
WA 98004-6942
Practice Telephone 4254629511
Practice Fax Number 4254628894
Mailing Telephone 4254629511
Mailing Fax Number 4254628894
Enumeration Date 2006-11-20
Last Update Date 2014-08-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
MD00010438 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 1300 114TH AVE SE
SUITE 115
City BELLEVUE
State WA
Zip Code 98004-6942

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235121609 Christopher John Keats Psychoanalyst 1300 114th Ave Se, Ste 210, Bellevue, WA 98004-6942 2005-08-22
1437533023 Richard Davis Batson Naturopath 1300 114th Ave Se, Suite 106, Bellevue, WA 98004-6942 2015-07-14
1952785545 Karen Parker Naturopath 1300 114th Ave Se, Suite 106, Bellevue, WA 98004-6942 2015-07-14
1235519349 Neurevolution Medicine, LLC Naturopath 1300 114th Ave Se, Suite 106, Bellevue, WA 98004-6942 2015-06-03
1447657036 Denise C Fort Psychologist 1300 114th Ave Se, Suite 210, Bellevue, WA 98004-6942 2014-11-25
1154733541 Aude Geltzer Counselor 1300 114th Ave Se, Bellevue, WA 98004-6942 2014-05-20
1255650891 Catherine A. Henderson Psychoanalyst 1300 114th Ave Se, Suite 210, Bellevue, WA 98004-6942 2010-05-21
1669644217 Diane M Specht Schachter Counselor 1300 114th Ave Se, #104, Bellevue, WA 98004-6942 2008-03-24
1023286697 Holly Culver Counselor 1300 114th Ave Se, Suite 108, Bellevue, WA 98004-6942 2008-02-15
1245420231 Shar Kunovsky Counselor 1300 114th Ave Se, Ste 102 Bellefield Office Park Mercer Canal Bldg, Bellevue, WA 98004 2007-07-26
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Providers in the same zip code

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 Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710223896 Jack Raskin Psychiatry & Neurology 2624 161st Ave Se, Bellevue, WA 98008-5424 2012-12-18
1306000898 Amy Lazar Psychiatry & Neurology 11820 Northup Way Ste E200, Bellevue, WA 98005-1966 2008-07-14
1497883326 John Creighton Rose Psychiatry & Neurology 14030 Ne 24th St Ste 104, Bellevue, WA 98007-3731 2007-03-01
1023265188 Romelia Perez Psychiatry & Neurology 1611 116th Ave Ne, Suite 132, Bellevue, WA 98004-3045 2008-08-20
1134385719 Alicia Grattan Jorgenson Psychiatry & Neurology 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 2008-08-02
1013177237 Ashok Shimoji-krishnan Psychiatry & Neurology 13451 Se 36th St, Bellevue, WA 98006-1475 2008-06-11
1871648204 Carola E Bosenberg Psychiatry & Neurology 1611 116th Ave Ne, Suite 218, Bellevue, WA 98004-3045 2007-01-24
1053487306 Edward William Freedman Psychiatry & Neurology 1621 114th Ave Se, Suite 221, Bellevue, WA 98004-6956 2006-11-28
1699849703 John F Pastor Psychiatry & Neurology 1300 114th Ave Se, Suite 115, Bellevue, WA 98004-6942 2006-11-20
1609960368 Andrea Eisner Psychiatry & Neurology 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 2006-10-03
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Competitor

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City BELLEVUE
Zip Code 98004

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Dataset Information

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.

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