Active NPI
Alan R. Breen, PHD, PLLC
- Clinical Neuropsychologist
- Seattle, WA
National Provider Identifier
1255787701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 882
- Legal business name
- ALAN R. BREEN, PHD, PLLC
- Practice address
- 411 12TH Ave
Ste 305
Seattle, WA 98122 - Phone
- (206) 860-0860
- Fax
- (206) 892-9785
- NPI assigned
- May 13, 2016
- Last updated
- May 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan R Breen, PH.D.
- Title
- Psychologist
- Phone
- (206) 860-0860
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 882 | WA | Primary |
Addresses
Primary practice location
411 12TH Ave
Ste 305
Seattle, WA 98122
Mailing address
411 12TH Ave
Ste 305
Seattle, WA 98122
Phone (206) 860-0860
National Provider Directory
National Provider DirectoryLocations
411 12th Ave
Ste 305
Seattle, WA 98122
Phone (206) 860-0860
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Neuropsychologist
- Seattle, WA
- NPI 1295880672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463097600000",
"number": "1255787701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 12TH AVE",
"address_2": "STE 305",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98122",
"telephone_number": "206-860-0860",
"fax_number": "206-892-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 12TH AVE",
"address_2": "STE 305",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98122",
"telephone_number": "206-860-0860",
"fax_number": "206-892-9785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN R. BREEN, PHD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-13",
"last_updated": "2016-05-13",
"status": "A",
"authorized_official_last_name": "BREEN",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "206-860-0860",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WA",
"license": "882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.