Active NPI
Luke Vaartstra, PH.D
- Clinical Neuropsychologist
- Bellevue, WA
National Provider Identifier
1174401434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 11911 NE 1St St Ste 208
Bellevue, WA 98005-3056 - Phone
- (425) 217-3546
- NPI assigned
- Aug 25, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
11911 NE 1St St Ste 208
Bellevue, WA 98005-3056
Mailing address
17076 165TH Ave SE
Renton, WA 98058-9592
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Minds PC | Clinical Neuropsychologist | Current | Accepting new patients |
| Oscar J. Benitez, PHD Inc | Past | Accepting new patients |
Locations
11911 NE 1st St
Ste 208
Bellevue, WA 98005
Phone (425) 217-3546
Organizations & group practices 2
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.
-
- Clinical Neuropsychologist
- Bellevue, WA
- NPI 1508328279
-
- Clinical Psychologist
- Bellevue, WA
- NPI 1336426568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1174401434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17076 165TH AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980589592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 NE 1ST ST STE 208",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053056",
"telephone_number": "425-217-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAARTSTRA",
"first_name": "LUKE",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"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 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.