Individual provider Active NPI

Joni Tudor Howard, PH.D

  • Clinical Psychologist
  • Bellevue, WA
National Provider Identifier
1972926129
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60416093 Issued in WA
Practice address
11911 NE 1St St Ste 208
Bellevue, WA 98005
Phone
(425) 217-3546
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY60416093 WA Primary
Clinical Neuropsychologist 103G00000X

Addresses

Primary practice location

11911 NE 1St St Ste 208
Bellevue, WA 98005

Mailing address

11911 NE 1St St Ste 208
Bellevue, WA 98005-3056
Phone (425) 217-3546

Other practice location 1

1808 Richards Rd
Bellevue, WA 98005-3982
Phone (509) 592-0082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2020 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY60416093WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Minds PC Clinical Neuropsychologist CurrentSince Sep 8, 2019 Accepting new patients
Oscar J. Benitez, PHD Inc Clinical PastSince Sep 8, 2019 Accepting new patients

Locations

11911 NE 1st St
Ste 208
Bellevue, WA 98005
Phone (425) 217-3546

1808 Richards Rd
Ste 120
Bellevue, WA 98005
Phone (425) 502-8341

Organizations & group practices 2

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": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1972926129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 NE 1ST ST STE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053056",
            "telephone_number": "425-217-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 NE 1ST ST STE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-217-3546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 Richards Rd",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980053982",
            "country_code": "US",
            "telephone_number": "509-592-0082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JONI",
        "middle_name": "TUDOR",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60416093",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.