Individual provider Active NPI

Robert Bernard Devney, MD

  • Psychiatry Physician
  • Bothell, WA
National Provider Identifier
1770668576
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00019763 Issued in WA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1053933MedicaidWA
5895OtherINTERNAL 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
Green means eligible to order or refer.
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

OrganizationSpecialtyStatusNew patients
Robert B Devney Psychiatry CurrentSince Sep 1, 1991 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

Verify at the official NPI Registry.