Individual provider Active NPI

Chih Ying Lin

  • Behavior Analyst
  • Issaquah, WA
National Provider Identifier
1063014108
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA61247675 Issued in WA
Practice address
317 NW Gilman Blvd Ste 50
Issaquah, WA 98027-2485
Phone
(425) 459-5214
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 3732 TX
Behavior Analyst 103K00000X BA61247675 WA Primary

Addresses

Primary practice location

317 NW Gilman Blvd Ste 50
Issaquah, WA 98027-2485

Mailing address

317 NW Gilman Blvd Ste 50
Issaquah, WA 98027-2485
Phone (425) 459-5214

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

State licenses

LicenseStateTypeSpecialty
BA61247675WAMDBehavioral Analyst
3732TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Therapy Services Behavior Analyst CurrentSince Dec 6, 2022 Accepting new patients
Lakeside Center for Autism, LLC PastSince Dec 1, 2021 Accepting new patients
Ican America PastSince Dec 1, 2021 Accepting new patients

Locations

317 NW Gilman Blvd
Ste 50
Issaquah, WA 98027
Phone (206) 799-7831

Organizations & group practices 3

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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1063014108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 NW GILMAN BLVD STE 50",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272485",
            "telephone_number": "425-459-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NW GILMAN BLVD STE 50",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272485",
            "telephone_number": "425-459-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHIH YING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3732",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61247675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.