Active NPI
Dennyse Stanford, PH.D.
- Psychologist
- Bellevue, WA
National Provider Identifier
1790934552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00003813
- Practice address
- 40 Lake Bellevue Dr
Suite 250
Bellevue, WA 98005-2479 - Phone
- (425) 223-0702
- NPI assigned
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00003813 | WA | Primary |
Addresses
Primary practice location
40 Lake Bellevue Dr
Suite 250
Bellevue, WA 98005-2479
Mailing address
40 Lake Bellevue Dr
Suite 250
Bellevue, WA 98005-2479
Phone (425) 223-0702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00003813 | WA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sammamish Valley Psychological Services, P.S. | Psychologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychologist
- Redmond, WA
- NPI 1154404028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1790934552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LAKE BELLEVUE DR",
"address_2": "SUITE 250",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052479",
"telephone_number": "425-223-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LAKE BELLEVUE DR",
"address_2": "SUITE 250",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052479",
"telephone_number": "425-223-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANFORD",
"first_name": "DENNYSE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00003813",
"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 Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.