Active NPI
Janice Lynn Driver, PH.D.
- Cognitive & Behavioral Psychologist
- Bellevue, WA
National Provider Identifier
1891949871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- PY00003892
- Practice address
- 1380 112TH Ave NE Ste 101
Bellevue, WA 98004-3759 - Phone
- (425) 999-7800
- NPI assigned
- Nov 4, 2008
- 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 |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | PY00003892 | WA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PY00003892 | WA | Primary |
Addresses
Primary practice location
1380 112TH Ave NE Ste 101
Bellevue, WA 98004-3759
Mailing address
PO Box 3371
Bellevue, WA 98009-3371
Phone (425) 999-7800
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00003892 | WA | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1891949871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3371",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980093371",
"telephone_number": "425-999-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 112TH AVE NE STE 101",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043759",
"telephone_number": "425-999-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIVER",
"first_name": "JANICE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "WA",
"license": "PY00003892",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "WA",
"license": "PY00003892",
"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 Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.