NPIMap

Organization Active NPI

Northwest Behavioral Associates

  • Specialist
  • Bellevue, WA
National Provider Identifier
1861615122
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHWEST BEHAVIORAL ASSOCIATES
Practice address
3003 Northup Way Ste 200
Bellevue, WA 98004-1471
Phone
(425) 822-6442
NPI assigned
Apr 11, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Dr. Stacey Lynn Shook, PH.D.NPI 1407192461
Title
Director
Phone
(425) 822-6442

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
Specialist 174400000X Primary

Addresses

Primary practice location

3003 Northup Way Ste 200
Bellevue, WA 98004-1471

Mailing address

3003 Northup Way Ste 200
Bellevue, WA 98004-1471
Phone (425) 822-6442

National Provider Directory

National Provider Directory

Locations

3003 Northup Way
Ste 200
Bellevue, WA 98004
Phone (425) 250-3845

Practitioners & affiliated clinicians

Practitioners 120

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.

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1861615122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NORTHUP WAY STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041471",
            "telephone_number": "425-822-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NORTHUP WAY STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041471",
            "telephone_number": "425-822-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST BEHAVIORAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-822-6442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "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 Oct 5, 2007; 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.