Active NPI
Diane Weyer Dewitt, PH.D
- Forensic Psychologist
- Bellevue, WA
National Provider Identifier
1922506377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 0893
- Practice address
- 12356 Northup Way Ste 100
Bellevue, WA 98005-1956 - Phone
- (425) 867-1500
- NPI assigned
- Jan 30, 2018
- Last updated
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 0893 | WA | Primary |
Addresses
Primary practice location
12356 Northup Way Ste 100
Bellevue, WA 98005-1956
Mailing address
12356 Northup Way Ste 100
Bellevue, WA 98005-1956
Phone (425) 867-1500
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 |
|---|---|---|---|
| 0893 | WA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1922506377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12356 NORTHUP WAY STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051956",
"telephone_number": "425-867-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12356 NORTHUP WAY STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051956",
"telephone_number": "425-867-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "DIANE",
"middle_name": "WEYER",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "WA",
"license": "0893",
"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 Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.