Russell Albert Vandenbelt, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00019532 Issued in WA

Practice address

11201 SE 8TH St Ste 105
Bellevue, WA 98004-6420

Phone

(425) 454-0255

Fax

(425) 454-3066

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376623066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 SE 8TH ST STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046420",
            "telephone_number": "425-454-0255",
            "fax_number": "425-454-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SE 8TH ST STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046420",
            "telephone_number": "425-454-0255",
            "fax_number": "425-454-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBELT",
        "first_name": "RUSSELL",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00019532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca June Vanbebber
• Eldon Byron Vance, MSW
• Gary Allen Vandalfsen, PH.D.
• Matthew Vande Vrede, CB61419139
• David W Vandegrift
• Kristine Ann Vanderhart
• Vanderhoef Kerr and Iannielli PLLC
• Christopher McKay Vanderhoef, D.D.S.
• Emily Elizabeth Vandersanden
• Alyssa Fuabkaaj Vang, COTA/L

• Psychiatry Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.