Organization Active NPI

Associated Behavioral Health Care

  • Psychologist
  • Bellevue, WA
National Provider Identifier
1689976276
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ASSOCIATED BEHAVIORAL HEALTH CARE
Practice address
1215 120TH Ave NE
Ste 201
Bellevue, WA 98005-2135
Phone
(425) 646-7279
Fax
(425) 646-7499
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Jennifer R Mars
Title
Vice President of Developement
Phone
(425) 646-7279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1215 120TH Ave NE
Ste 201
Bellevue, WA 98005-2135

Mailing address

1800 112TH Ave NE
Suite 150W
Bellevue, WA 98004-2993
Phone (425) 646-7279

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1689976276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE",
            "address_2": "SUITE 150W",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042993",
            "telephone_number": "425-646-7279",
            "fax_number": "425-646-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 120TH AVE NE",
            "address_2": "STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052135",
            "telephone_number": "425-646-7279",
            "fax_number": "425-646-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED BEHAVIORAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "MARS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT OF DEVELOPEMENT",
        "authorized_official_telephone_number": "425-646-7279"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 2, 2010; 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.