NPIMap

Organization Active NPI

Renee Gilbert, PH.D.

  • Clinical Psychologist
  • Bellevue, WA
National Provider Identifier
1780198424
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1112 Issued in WA
Legal business name
RENEE GILBERT, PH.D.
Practice address
40 Lake Bellevue Dr Ste 100
Bellevue, WA 98005-2480
Phone
(425) 455-5400
Fax
(425) 688-1741
NPI assigned
Nov 16, 2017
Last updated
Nov 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Dr. Renee Gilbert, PH.D.NPI 1346363108
Title
Ownwe
Phone
(425) 455-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1112 WA Primary

Addresses

Primary practice location

40 Lake Bellevue Dr Ste 100
Bellevue, WA 98005-2480

Mailing address

PO Box 1573
Bellevue, WA 98009-1573
Phone (425) 455-5400

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1780198424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1573",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980091573",
            "telephone_number": "425-455-5400",
            "fax_number": "425-688-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LAKE BELLEVUE DR STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052480",
            "telephone_number": "425-455-5400",
            "fax_number": "425-688-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE GILBERT, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNWE",
        "authorized_official_telephone_number": "425-455-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1112",
            "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 Nov 16, 2017; 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.