NPIMap

Organization Active NPI

Sammamish Valley Psychological Services, P.S.

  • Psychologist
  • Redmond, WA
National Provider Identifier
1154404028
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SAMMAMISH VALLEY PSYCHOLOGICAL SERVICES, P.S.
Practice address
17530 NE Union Hill Rd
Suite 210
Redmond, WA 98052
Phone
(425) 883-2623
Fax
(425) 883-6241
NPI assigned
Oct 23, 2006
Last updated
Apr 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Gregg T Schimmel, PHD
Title
Owner Director
Phone
(425) 883-2623

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

17530 NE Union Hill Rd
Suite 210
Redmond, WA 98052

Mailing address

17530 NE Union Hill Rd
Suite 210
Redmond, WA 98052
Phone (425) 883-2623

Other identifiers 1

IdentifierTypeStateIssuer
0043575OtherDEPT OF L AND I

National Provider Directory

National Provider Directory

Locations

15446 Bel Red Rd
Ste 350
Redmond, WA 98052
Phone (425) 883-2623

17530 NE Union Hill Rd
Ste 210
Redmond, WA 98052
Phone (425) 883-2623

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1154404028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17530 NE UNION HILL RD",
            "address_2": "SUITE 210",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "425-883-2623",
            "fax_number": "425-883-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17530 NE UNION HILL RD",
            "address_2": "SUITE 210",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "425-883-2623",
            "fax_number": "425-883-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMAMISH VALLEY PSYCHOLOGICAL SERVICES, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "SCHIMMEL",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "425-883-2623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L AND I",
            "identifier": "0043575",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.