NPIMap

Organization Active NPI

Mosiac Children's Therapy Clinic

  • Community/Behavioral Health Agency
  • Bellevue, WA
National Provider Identifier
1396135042
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOSIAC CHILDREN'S THERAPY CLINIC
Practice address
13010 NE 20TH St Ste 300
Bellevue, WA 98005-2054
Phone
(425) 644-6325
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Andrea Duffield, MA, CCC-SLP, B.SC.ED
Title
Owner/President
Phone
(425) 644-6325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

13010 NE 20TH St Ste 300
Bellevue, WA 98005-2054

Mailing address

13010 NE 20TH St Ste 300
Bellevue, WA 98005-2054
Phone (425) 644-6325

National Provider Directory

National Provider Directory
Tax ID family
Mosaic Rehabilitation Inc2 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.

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.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1396135042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 NE 20TH ST STE 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052054",
            "telephone_number": "425-644-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 NE 20TH ST STE 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052054",
            "telephone_number": "425-644-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSIAC CHILDREN'S THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "DUFFIELD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "425-644-6325",
        "authorized_official_credential": "MA, CCC-SLP, B.SC.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "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 Feb 3, 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.