Organization Active NPI

Under One Roof Psychological Services

  • Psychologist
  • Seattle, WA
National Provider Identifier
1467126607
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
UNDER ONE ROOF PSYCHOLOGICAL SERVICES
Practice address
4915 25TH Ave NE Ste 102W
Seattle, WA 98105-5667
Phone
(206) 257-0134
Fax
(206) 397-4962
NPI assigned
Aug 2, 2021
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Melissa Badenna
Title
Admin Direct
Phone
(206) 257-0134

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

4915 25TH Ave NE Ste 102W
Seattle, WA 98105-5667

Mailing address

4915 25TH Ave NE Ste 102W
Seattle, WA 98105-5667
Phone (206) 257-0134

National Provider Directory

National Provider Directory

Locations

4915 25th Ave NE
Ste 102W
Seattle, WA 98105
Phone (206) 257-0134

Practitioners & affiliated clinicians

Practitioners 3

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": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1467126607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 25TH AVE NE STE 102W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055667",
            "telephone_number": "206-257-0134",
            "fax_number": "206-397-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 25TH AVE NE STE 102W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055667",
            "telephone_number": "206-257-0134",
            "fax_number": "206-397-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER ONE ROOF PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "BADENNA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMIN DIRECT",
        "authorized_official_telephone_number": "206-257-0134"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 2, 2021; 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.