Organization Active NPI

O'Neill Psychological Services Inc

Doing business as Options Psychological and Behavioral Solutions

  • Psychologist
  • Bellevue, WA
National Provider Identifier
1699936948
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY60234792 Issued in WA
Legal business name
O'NEILL PSYCHOLOGICAL SERVICES INC
Doing business as
Options Psychological and Behavioral Solutions
Practice address
365 118TH Ave SE Suite 118
Bellevue, WA 98005
Phone
(206) 351-1100
NPI assigned
Jun 19, 2008
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Bethany Ann O'Neill, PSY.D
Title
Owner/Psychologist
Phone
(203) 351-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY60234792 WA Primary
Clinical Psychologist 103TC0700X NU

Addresses

Primary practice location

365 118TH Ave SE Suite 118
Bellevue, WA 98005

Mailing address

210 E Blaine St #309
Seattle, WA 98102
Phone (206) 351-1100

Other identifiers 1

IdentifierTypeStateIssuer
504033408MedicaidMO

Other names 1

  • Options Psychological and Behavioral Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

365 118th Ave SE
Ste 118
Bellevue, WA 98005
Phone (206) 214-7553

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1699936948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E BLAINE ST #309",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98102",
            "telephone_number": "206-351-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 118TH AVE SE SUITE 118",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "206-351-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'NEILL PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "203-351-1100",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60234792",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504033408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Options Psychological and Behavioral Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 4, 2014; 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.