Timothy Shek-Pui Tam

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

4122 Factoria Blvd SE Ste 405
Bellevue, WA 98006-5259

Phone

(425) 998-8115

NPI assigned

Sep 20, 2016

Last updated

Dec 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanara Health PLLC

  dba Sanara Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bellevue, WA
  • NPI 1760369482

  Marriage & Family Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1730637695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD SE STE 405",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065259",
            "telephone_number": "425-998-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD SE STE 405",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065259",
            "telephone_number": "425-998-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "TIMOTHY",
        "middle_name": "SHEK-PUI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "LF60995078",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miho Takai
• Kenyu Takamoto, DDS MSD
• Thomas K Takayama, M.D.
• Talk Learn & Communicate
• Sylvia Tam, PT, DPT
• Danica Tamaye
• Lia Rose Tamminen, MSW, LICSW
• Jaerissa Baranda Tamonte
• Sophie Tan
• Pooja Sarin Tandon, MD

• Marriage & Family Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.