Individual provider Active NPI

Rebecca Mae Allen, MD, MPH

  • Behavioral Neurology & Neuropsychiatry Physician
  • Seattle, WA
National Provider Identifier
1003106451
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
60740924 Issued in WA
Practice address
805 Madison St Ste 401
Seattle, WA 98104-1172
Phone
(206) 467-6300
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 60740924 WA
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 60740924 WA Primary

Addresses

Primary practice location

805 Madison St Ste 401
Seattle, WA 98104-1172

Mailing address

221 Longwood Avenue, Mezzanine
Psychiatry Department
Boston, MA 02115
Phone (617) 732-6753

Other practice location 1

75 Francis St
Psychiatry Department
Boston, MA 02115-6110
Phone (617) 667-1029

Other identifiers 1

IdentifierTypeStateIssuer
60740924OtherWAWA STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170831000476 WA Practitioner - PsychiatryPractitioner - Neuropsychiatry 9436473931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Oregon Health Sciences University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seattle Neuropsychiatric Treatment Center PLLCGroup PAC ID 9335215995, 14 clinicians

Practice addresses (Care Compare)

805 Madison St
Suite 401
Seattle, WA 98104-1172
Phone (360) 491-8002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60740924WAMDBehavioral Neurology & Neuropsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Neuropsychiatric Treatment Center, PLLC Psychiatry CurrentSince Sep 1, 2017 Accepting new patients

Locations

1450 114th Ave SE
Ste 110
Bellevue, WA 98004
Phone (206) 467-6300

805 Madison St
Ste 401
Seattle, WA 98104
Phone (206) 467-6300

1530 S Union Ave
Ste 14
Tacoma, WA 98405
Phone (206) 467-6300

Interoperability endpoints

  • Direct secure messaging: rebecca.allen.1@32851.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1003106451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LONGWOOD AVENUE, MEZZANINE",
            "address_2": "PSYCHIATRY DEPARTMENT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MADISON ST STE 401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041172",
            "telephone_number": "206-467-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_2": "Psychiatry Department",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-667-1029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "REBECCA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "60740924",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "WA",
            "license": "60740924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE MEDICAL LICENSE",
            "identifier": "60740924",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.