Individual provider Active NPI

Astrid Davidson, PSY.D.

  • Clinical Psychologist
  • Bellevue, WA
National Provider Identifier
1467527341
Registry record updated May 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00002916 Issued in WA
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

Updated by the provider on May 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PY00002916WAMDClinical Psychologist
LF00001471WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.