Active NPI
Robert Bernard Devney, MD
- Psychiatry Physician
- Bothell, WA
National Provider Identifier
1770668576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00019763
- Practice address
- 19515 North Creek Pkwy
Ste 202
Bothell, WA 98011-8200 - Phone
- (425) 949-0204
- Fax
- (855) 936-3250
- NPI assigned
- Oct 27, 2006
- Last updated
- Nov 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00019763 | WA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD00019763 | WA |
Addresses
Primary practice location
19515 North Creek Pkwy
Ste 202
Bothell, WA 98011-8200
Mailing address
19515 North Creek Pkwy
Ste 202
Bothell, WA 98011-8200
Phone (425) 949-0204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053933 | Medicaid | WA | |
| 5895 | Other | INTERNAL ID-MOTOR VEHICLE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2018 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert B Devney | Psychiatry | Current | Accepting new patients |
Locations
19515 North Creek Pkwy
Ste 202
Bothell, WA 98011
Phone (425) 443-6496
18500 156th Ave NE
Ste 100
Woodinville, WA 98072
Phone (425) 481-0429
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700784000000",
"number": "1770668576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19515 NORTH CREEK PKWY",
"address_2": "STE 202",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980118200",
"telephone_number": "425-949-0204",
"fax_number": "855-936-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19515 NORTH CREEK PKWY",
"address_2": "STE 202",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980118200",
"telephone_number": "425-949-0204",
"fax_number": "855-936-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVNEY",
"first_name": "ROBERT",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2023-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00019763",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "MD00019763",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053933",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNAL ID-MOTOR VEHICLE ID",
"identifier": "5895",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.