Active NPI
Mountain Mental Health PLLC
- Psychiatry Physician
- Bellevue, WA
National Provider Identifier
1275469595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MOUNTAIN MENTAL HEALTH PLLC
- Practice address
- 14205 SE 36TH St Ste 100
Bellevue, WA 98006-1553 - Phone
- (425) 657-8819
- Fax
- (507) 607-8918
- NPI assigned
- Jun 23, 2026
- 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
- Ilyse Rosenberg, DO
- Title
- Dr
- Phone
- (425) 657-8819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
14205 SE 36TH St Ste 100
Bellevue, WA 98006-1553
Mailing address
14205 SE 36TH St Ste 100
Bellevue, WA 98006-1553
Phone (425) 657-8819
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782172800000",
"number": "1275469595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14205 SE 36TH ST STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061553",
"telephone_number": "425-657-8819",
"fax_number": "507-607-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14205 SE 36TH ST STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061553",
"telephone_number": "425-657-8819",
"fax_number": "507-607-8918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN MENTAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-23",
"last_updated": "2026-06-23",
"certification_date": "2026-06-04",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "ILYSE",
"authorized_official_title_or_position": "DR",
"authorized_official_telephone_number": "425-657-8819",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"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 23, 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.