Dr. Astrid Davidson, Psy,D., Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00002916 Issued in WA

Legal business name

DR. ASTRID DAVIDSON, PSY,D., INC.

Practice address

14042 NE 8TH St Ste 102
Bellevue, WA 98007-4142

Phone

(425) 455-4890

Fax

(425) 643-0352

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Astrid Davidson, PSY.D.NPI 1467527341

Title

President/Psychologist

Phone

(425) 455-4890

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Astrid Davidson, PSY.D.

  • Clinical Psychologist
  • Bellevue, WA
  • NPI 1467527341
  NPD (past) Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1639367352",
    "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": {
        "organization_name": "DR. ASTRID DAVIDSON, PSY,D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ASTRID",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "425-455-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.