Kathleen P Decker, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0027276 Issued in WA

Practice address

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

Phone

(425) 467-1369

Fax

(425) 484-6500

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861517989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LAKE BELLEVUE DR STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052480",
            "telephone_number": "425-467-1369"
        },
        {
            "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": "425-467-1369",
            "fax_number": "425-484-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "KATHLEEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "0027276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0027276",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen L Dean, LMP
• Angela Debay
• Deborah S. Golob, MD PLLC
• Genenvieve Decantis, SLP
• Anthony Decicco, PHARMD
• Tammy Kay Decorte, GCFP
• Jessica Deer, MS, RDN, CD
• Brad S Defenbaugh, DPT
• Kaitlynn Ann Defreitas, CBT
• Cherie A Degala, LMP

• Psychiatry Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.