Active NPI
Astrid Davidson, PSY.D.
- Clinical Psychologist
- Bellevue, WA
National Provider Identifier
1467527341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00002916
- Practice address
- 14042 NE 8TH St Ste 102
Bellevue, WA 98007-4142 - Phone
- (425) 455-4890
- Fax
- (425) 643-0352
- NPI assigned
- Nov 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00002916 | WA | Primary |
| Marriage & Family Therapist | 106H00000X | LF00001471 | WA |
Addresses
Primary practice location
14042 NE 8TH St Ste 102
Bellevue, WA 98007-4142
Mailing address
PO Box 7083
Bellevue, WA 98008-1083
Phone (425) 455-4890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002916 | WA | MD | Clinical Psychologist |
| LF00001471 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Astrid Davidson, Psy,D., Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Bellevue, WA
- NPI 1639367352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241222400000",
"number": "1467527341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7083",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980081083",
"telephone_number": "425-455-4890",
"fax_number": "425-643-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14042 NE 8TH ST STE 102",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980074142",
"telephone_number": "425-455-4890",
"fax_number": "425-643-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "ASTRID",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-23",
"last_updated": "2009-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00002916",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00001471",
"primary": false
}
],
"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 May 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.