Organization Active NPI

Pacifica Behavioral Health

  • Clinical Psychologist
  • Bellevue, WA
National Provider Identifier
1790655124
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PACIFICA BEHAVIORAL HEALTH
Practice address
16727 NE 5TH PL
Bellevue, WA 98008-4053
Phone
(425) 610-7610
NPI assigned
Nov 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Janet NG, PHDNPI 1417326000
Title
Clinical Psychologist
Phone
(425) 610-7610

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

16727 NE 5TH PL
Bellevue, WA 98008-4053

Mailing address

1915 140TH Ave NE Ste D2
Bellevue, WA 98005-2347
Phone (425) 610-7610

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": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1790655124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 140TH AVE NE STE D2",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052347",
            "telephone_number": "425-610-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16727 NE 5TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980084053",
            "telephone_number": "425-610-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "425-610-7610",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 10, 2025; 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.