Geneva Reynaga Abiko, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY61346138 Issued in WA

Practice address

14150 NE 20TH St # F1-126
Bellevue, WA 98007-3700

Phone

(703) 493-1550

NPI assigned

May 23, 2007

Last updated

Jul 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 8, 2024 through May 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Borderlands Therapy Collaborative, PLLC

  • Clinical Psychologist
  • Bellevue, WA
  • NPI 1770261745
  NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1891905303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 NE 20TH ST # F1-126",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073700",
            "telephone_number": "703-493-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 NE 20TH ST # F1-126",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073700",
            "telephone_number": "703-493-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIKO",
        "first_name": "GENEVA",
        "middle_name": "REYNAGA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006770",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY61346138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bashiir Abdulmumin
• Susan M Abdun-Nur, DDS
• Lisa J Abel, ARNP
• Jessica Abgaryan, MS
• Rima S Abifaker, DDS
• Tatiana Elizabeth Ables
• Antonio Abolafia, DIPL.OM
• Marcy Hannah Abong
• Shirindokht Aboosaidi, PHD
• Abounding Grace Afh LLC

• Clinical Psychologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.