NPIMap

Organization Active NPI

Cogwheel Clinic for Neurodevelopment

  • Clinical Neuropsychologist
  • Bellevue, WA
National Provider Identifier
1194193698
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY00002463 Issued in WA
Legal business name
COGWHEEL CLINIC FOR NEURODEVELOPMENT
Practice address
2101 112TH Ave NE
Suite 100
Bellevue, WA 98004-2944
Phone
(425) 748-7000
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Dr. Daniela Ferdico, PSY.D.NPI 1710372412
Title
Clinical Director
Phone
(425) 748-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X PY00002463 WA Primary

Addresses

Primary practice location

2101 112TH Ave NE
Suite 100
Bellevue, WA 98004-2944

Mailing address

2101 112TH Ave NE
Suite 100
Bellevue, WA 98004-2944
Phone (425) 748-7000

National Provider Directory

National Provider Directory

Locations

2101 112th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 748-0007

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1194193698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 112TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042944",
            "telephone_number": "425-748-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 112TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042944",
            "telephone_number": "425-748-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGWHEEL CLINIC FOR NEURODEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "FERDICO",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "425-748-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY00002463",
            "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 Sep 14, 2015; 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.