Carole Anne Coryell, M.S. , PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LH00004790 Issued in WA

Practice address

1715 114TH Ave SE
Suite 208
Bellevue, WA 98004-6945

Phone

(425) 260-7508

NPI assigned

Feb 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

Practice roles

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.

• Nicholson Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellevue, WA
  • NPI 1033706601
  NPD (past)

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558409136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 NW VILLAGE PARK DR",
            "address_2": "G-240",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980277875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 114TH AVE SE",
            "address_2": "SUITE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046945",
            "telephone_number": "425-260-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORYELL",
        "first_name": "CAROLE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.S. , PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "LH00004790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Corrigan, RD, CD
• Cynthia Cortes
• Maria Cortes, CG 60890253
• Whitney Corthell
• Ashlee Vanessa Cortinas, BCBA
• Kaku Emmanuel Cosmos
• Caron Ann Cosser, M.S., BCBA
• Melanie Cossette, LMP
• Daniela Costea, PSY.D.
• John A Costello, MD

• Psychologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.