Active NPI
Childrens Hospital
- Developmental Disabilities Clinic/Center
- Bellevue, WA
National Provider Identifier
1144377094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- License
- LH00007347
- Legal business name
- CHILDRENS HOSPITAL
- Practice address
- 1135 116TH Ave NE
Bellevue, WA 98004-4623 - Phone
- (206) 987-2000
- Fax
- (425) 451-0214
- NPI assigned
- Jan 4, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dana Louise De Maso, PHD.
- Title
- Mental Health Therapist
- Phone
- (206) 987-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | LH00007347 | WA | Primary |
Addresses
Primary practice location
1135 116TH Ave NE
Bellevue, WA 98004-4623
Mailing address
1205 NE 88TH St
Seattle, WA 98115-3126
Phone (206) 987-2000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144377094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 NE 88TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981153126",
"telephone_number": "206-987-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 116TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044623",
"telephone_number": "206-987-2000",
"fax_number": "425-451-0214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DE MASO",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "206-987-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD."
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "WA",
"license": "LH00007347",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.