Developing Minds, PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

DEVELOPING MINDS, PLLC

Practice address

19515 N Creek Pkwy
Suite 208
Bothell, WA 98011-8200

Phone

(805) 444-6559

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Rumen Slavkov, MD

Title

Owner

Phone

(805) 444-6559

Specialties & licenses 1

Addresses

Tax ID family

Developing Minds Child Psychiatric Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Developing Minds Child Psychiatric Clinic

  • Mental Health Counselor
  • Bellevue, WA
  • NPI 1679028641
  NPD tax ID

Locations

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1194182147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19515 N CREEK PKWY",
            "address_2": "SUITE 208",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118200",
            "telephone_number": "805-444-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19515 N CREEK PKWY",
            "address_2": "SUITE 208",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118200",
            "telephone_number": "805-444-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPING MINDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "SLAVKOV",
        "authorized_official_first_name": "RUMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-444-6559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kedest Deresse, RN
• Abigail Despain, LMFT-ASSOCIATE
• Susan M Desrosier, RN
• Laura Desruisseaux, RPH
• Hirut Dessie
• Christopher Lee Lynn Devine, BS
• Robert Bernard Devney, MD
• Steven D. Dill, MA. LMHC
• Ann Gabrielle Dillard
• Huma Din, LMFTA

• Adolescent and Children Mental Health Clinic/Center in Bothell, WA
• Providers in Bothell, WA by specialty
• Adolescent and Children Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.