Active NPI
Neuropsychology and Cognitive Health
- Clinical Neuropsychologist
- Bellevue, WA
National Provider Identifier
1508289299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY00002466
- Legal business name
- NEUROPSYCHOLOGY AND COGNITIVE HEALTH
- Practice address
- 1808 Richards Rd #120
Bellevue, WA 98005-3982 - Phone
- (425) 502-8341
- Fax
- (425) 502-8731
- NPI assigned
- Jan 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jo A. Asbury
- Title
- Credentialing Assistant
- Phone
- (425) 903-3783
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY00002466 | WA | Primary |
| Clinical Neuropsychologist | 103G00000X | |||
| Clinical Psychologist | 103TC0700X | PY00002466 | WA |
Addresses
Primary practice location
1808 Richards Rd #120
Bellevue, WA 98005-3982
Mailing address
1808 Richards Rd #120
Bellevue, WA 98005-3982
Phone (425) 502-8341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8382822 | Medicaid | WA |
Other names 1
- Neuropsychology and Cognitive Health, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1808 Richards Rd
Ste 113
Bellevue, WA 98005
Phone (425) 502-8341
1621 114th Ave SE
Ste 122
Bellevue, WA 98004
Phone (425) 502-8341
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Bellevue, WA
- NPI 1992872139
-
- Clinical Psychologist
- Bellevue, WA
- NPI 1316656465
-
- Cognitive & Behavioral Psychologist
- Bellevue, WA
- NPI 1134677933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542240000000",
"number": "1508289299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 RICHARDS RD #120",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053982",
"telephone_number": "425-502-8341",
"fax_number": "425-502-8731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 RICHARDS RD #120",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053982",
"telephone_number": "425-502-8341",
"fax_number": "425-502-8731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPSYCHOLOGY AND COGNITIVE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-30",
"last_updated": "2018-11-15",
"status": "A",
"authorized_official_last_name": "ASBURY",
"authorized_official_first_name": "JO",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CREDENTIALING ASSISTANT",
"authorized_official_telephone_number": "425-903-3783"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "WA",
"license": "PY00002466",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00002466",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8382822",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Neuropsychology and Cognitive Health, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.