Claire Kelly White

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY60411502 Issued in WA

Practice address

2515 140TH Ave NE
Suite E 110
Bellevue, WA 98005-1862

Phone

(425) 644-4100

Fax

(877) 302-7136

NPI assigned

Nov 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Claire Marie Kelly Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mindful Therapy Group PC

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  Psychologist

  Medicare reassignment Care Compare group NPD
• The Center for Family & Lifespan Development

  • Clinical Psychologist
  • Federal Way, WA
  • NPI 1508153859
  Medicare reassignment NPD
• The Center for Psychological Health, LLC

  • Clinical Psychologist
  • Federal Way, WA
  • NPI 1144694001
  Medicare reassignment NPD
• Lindsey a. Miller, Arnp, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Federal Way, WA
  • NPI 1790022861
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1174705339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 140TH AVE NE",
            "address_2": "SUITE E 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051862",
            "telephone_number": "425-644-4100",
            "fax_number": "877-302-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 140TH AVE NE",
            "address_2": "SUITE E 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051862",
            "telephone_number": "425-644-4100",
            "fax_number": "877-302-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CLAIRE",
        "middle_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60411502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "KELLY",
            "middle_name": "MARIE",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whidbey Island Public Hospital District
• Cameron Whipple, SLP
• Allison Elizabeth White, LMFTA
• Ann Sparling White, MS, NCC, LMHC
• Caroline A White, LMHC
• Erik White, MD
• Ian R White, M.D.
• Jessica White, MHC
• Katherine Emily White
• Shirley White, TECHNICIAN

• Psychologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.