Individual provider Active NPI

Kazuyo Asada, PHD

  • Psychologist
  • Bellevue, WA
National Provider Identifier
1184166365
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY60440323 Issued in WA
Practice address
14040 NE 8TH St Ste 224
Bellevue, WA 98007-4138
Phone
(206) 462-8415
NPI assigned
Nov 5, 2016
Reactivated
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PY60440323 WA
Clinical Psychologist 103TC0700X PY60440323 WA
Clinical Child & Adolescent Psychologist 103TC2200X PY60440323 WA
Psychologist 103T00000X PY60440323 WA Primary

Addresses

Primary practice location

14040 NE 8TH St Ste 224
Bellevue, WA 98007-4138

Mailing address

14040 NE 8TH St Ste 224
Bellevue, WA 98007-4138

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY60440323WAMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1478304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1184166365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 NE 8TH ST STE 224",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 NE 8TH ST STE 224",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074138",
            "telephone_number": "206-462-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASADA",
        "first_name": "KAZUYO",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-05",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "deactivation_date": "2018-04-09",
        "reactivation_date": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WA",
            "license": "PY60440323",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60440323",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "PY60440323",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60440323",
            "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 Jun 8, 2026; 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.