Individual provider Active NPI

Marie L Sweeney, PHD

  • Clinical Psychologist
  • Bellevue, WA
National Provider Identifier
1922000652
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2446 Issued in WA
Practice address
1800 116TH Ave NE Ste 104
Bellevue, WA 98004-3043
Phone
(425) 761-6036
Fax
(425) 453-5654
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2446 WA
Clinical Psychologist 103TC0700X 2446 WA Primary

Addresses

Primary practice location

1800 116TH Ave NE Ste 104
Bellevue, WA 98004-3043

Mailing address

1800 116TH Ave NE Ste 104
Bellevue, WA 98004-3043
Phone (425) 761-6036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000270 WA Practitioner - Clinical Psychologist 9133114473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1601 116TH Ave NE
Suite 102
Bellevue, WA 98004-3010
Phone (425) 761-6036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2446WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marie L Sweeney PHD Inc. Clinical CurrentSince Mar 4, 2003 Accepting new patients

Locations

1601 116th Ave NE
Ste 102
Bellevue, WA 98004
Phone (425) 761-6036

Organizations & group practices 1

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1922000652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 116TH AVE NE STE 104",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043043",
            "telephone_number": "425-761-6036",
            "fax_number": "425-453-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 116TH AVE NE STE 104",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043043",
            "telephone_number": "425-761-6036",
            "fax_number": "425-453-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "MARIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "2446",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "2446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.