NPIMap

Organization Active NPI

Mercer Island Therapy, PLLC

  • Clinical Social Worker
  • Mercer Island, WA
National Provider Identifier
1003129461
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MERCER ISLAND THERAPY, PLLC
Practice address
8015 SE 28TH St Ste 309
Mercer Island, WA 98040-2910
Phone
(206) 236-1294
Fax
(206) 257-3196
NPI assigned
Jul 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Ron K Feinberg, LICSW
Title
Partner
Phone
(206) 226-8879

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X LL00001598 WA

Addresses

Primary practice location

8015 SE 28TH St Ste 309
Mercer Island, WA 98040-2910

Mailing address

8015 SE 28TH St
Suite 309
Mercer Island, WA 98040-2910
Phone (206) 226-8813

Other names 1

  • Northwest Speech Therapy / Spotlight Social Skills Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1003129461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 SE 28TH ST",
            "address_2": "SUITE 309",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402910",
            "telephone_number": "206-226-8813",
            "fax_number": "630-604-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 SE 28TH ST STE 309",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402910",
            "telephone_number": "206-236-1294",
            "fax_number": "206-257-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER ISLAND THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "FEINBERG",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "206-226-8879",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Speech Therapy / Spotlight Social Skills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.