NPIMap

Organization Active NPI

Katerina G. Riabova, M.D. P.S.

  • Clinical Child & Adolescent Psychologist
  • Bellevue, WA
National Provider Identifier
1730337296
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
MD00041397 Issued in WA
Legal business name
KATERINA G. RIABOVA, M.D. P.S.
Practice address
2820 Northup Way Ste 105
Bellevue, WA 98004-1438
Phone
(425) 822-8153
Fax
(425) 822-4010
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Katerina G Riabova, MDNPI 1265486880
Title
Owner
Phone
(425) 822-8153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X MD00041397 WA Primary

Addresses

Primary practice location

2820 Northup Way Ste 105
Bellevue, WA 98004-1438

Mailing address

2820 Northup Way Ste 105
Bellevue, WA 98004-1438
Phone (425) 822-8153

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1730337296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NORTHUP WAY STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041438",
            "telephone_number": "425-822-8153",
            "fax_number": "425-822-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NORTHUP WAY STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041438",
            "telephone_number": "425-822-8153",
            "fax_number": "425-822-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATERINA G. RIABOVA, M.D. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "RIABOVA",
        "authorized_official_first_name": "KATERINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-822-8153",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "MD00041397",
            "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 Sep 8, 2008; 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.