Individual provider Active NPI

Robin Owens Macy, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Bellevue, WA
National Provider Identifier
1902637606
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
5150 Village Park Dr SE
Bellevue, WA 98006-6652
Phone
(425) 657-0620
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

5150 Village Park Dr SE
Bellevue, WA 98006-6652

Mailing address

5150 Village Park Dr SE
Bellevue, WA 98006-6652
Phone (425) 657-0620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108004094 WA Practitioner - Qualified Speech Language Pathologist 6103354816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians

Practice addresses (Care Compare)

1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics, LLC Current Accepting new patients
Lakeside Center for Autism, LLC Speech-Language Pathologist CurrentSince Aug 18, 2024 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Feb 10, 2025 Accepting new patients
Ican America PastSince Aug 18, 2024 Accepting new patients

Locations

5150 Village Park Dr SE
Bellevue, WA 98006
Phone (425) 502-8245

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1417 116th Ave NE
Ste 110
Bellevue, WA 98004
Phone (425) 688-5700

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1902637606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 VILLAGE PARK DR SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066652",
            "telephone_number": "425-657-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 VILLAGE PARK DR SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066652",
            "telephone_number": "425-657-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACY",
        "first_name": "ROBIN",
        "middle_name": "OWENS",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "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 Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.