Organization Active NPI

Julie E. Behrens, PC

  • Psychologist
  • Seattle, WA
National Provider Identifier
1033455142
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 00002502 Issued in WA
Legal business name
JULIE E. BEHRENS, PC
Practice address
444 NE Ravenna Blvd
Suite 309
Seattle, WA 98115-8436
Phone
(206) 920-8927
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Mrs. Julie E Behrens, PSYDNPI 1033158431
Title
Psychologist
Phone
(206) 920-8927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY 00002502 WA Primary

Addresses

Primary practice location

444 NE Ravenna Blvd
Suite 309
Seattle, WA 98115-8436

Mailing address

102 NW 104TH St
Seattle, WA 98177-4918
Phone (206) 920-8927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130129000165 WA Part B Supplier - Clinic/Group Practice 5294989224 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

444 NE Ravenna Blvd
Ste 301
Seattle, WA 98115
Phone (206) 359-0714

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1033455142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 NW 104TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981774918",
            "telephone_number": "206-920-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NE RAVENNA BLVD",
            "address_2": "SUITE 309",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158436",
            "telephone_number": "206-920-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE E. BEHRENS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "BEHRENS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-920-8927",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY 00002502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.