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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD00010438 | WA | Allopathic & Osteopathic Physicians |
Street Address |
1300 114TH AVE SE SUITE 115 |
City | BELLEVUE |
State | WA |
Zip Code | 98004-6942 |
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 |
Find all providers in the same location |
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 | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
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] |
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 |
Find all providers in BELLEVUE |
Please comment or provide details below to improve the information on IRVING J KOHLBERG.
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.