Active NPI
Jeanette J Chen, PH.D.
- Cognitive & Behavioral Psychologist
- Bellevue, WA
National Provider Identifier
1003962812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- PY00000850
- Practice address
- 14535 Bel Red Rd Ste B-200
Bellevue, WA 98007-3907 - Phone
- (425) 635-0176
- Fax
- (425) 745-1746
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PY00000850 | WA | Primary |
Addresses
Primary practice location
14535 Bel Red Rd Ste B-200
Bellevue, WA 98007-3907
Mailing address
14535 Bel Red Rd Ste B-200
Bellevue, WA 98007-3907
Phone (425) 635-0176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00000850 | WA | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003962812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14535 BEL RED RD STE B-200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073907",
"telephone_number": "425-635-0176",
"fax_number": "425-745-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 BEL RED RD STE B-200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073907",
"telephone_number": "425-635-0176",
"fax_number": "425-745-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JEANETTE",
"middle_name": "J",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "WA",
"license": "PY00000850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.