Active NPI
Amanda Marie Herges, PH.D.
- Clinical Neuropsychologist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 4338
- Practice address
- 1600 S Columbian Way
VA Puget Sound
Seattle, WA 98108-1565 - Phone
- (320) 766-1655
- NPI assigned
- Aug 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 4338 | AZ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1600 S Columbian Way
VA Puget Sound
Seattle, WA 98108-1565
Mailing address
1600 S Columbian Way
VA Puget Sound
Seattle, WA 98108-1565
Phone (320) 766-1655
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12033 NE 130TH LN
Suite 120
Kirkland, WA 98034-3052
Phone (425) 899-2160
12039 NE 128TH St
Kirkland, WA 98034-3029
8980 161St Ave NE
Redmond, WA 98052-7554
Hospital & facility affiliations
- Evergreenhealth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4338 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Clinical Neuropsychologist | Current | Accepting new patients |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Past | Accepting new patients |
Locations
12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123
12040 NE 128th St
Ofc
Kirkland, WA 98034
8980 161st Ave NE
Ste 400
Redmond, WA 98052
Phone (425) 883-3404
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
Clinical Neuropsychologist
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1790917904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S COLUMBIAN WAY",
"address_2": "VA PUGET SOUND",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081565",
"telephone_number": "320-766-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S COLUMBIAN WAY",
"address_2": "VA PUGET SOUND",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081565",
"telephone_number": "320-766-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERGES",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "4338",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.