Active NPI
Joni Tudor Howard, PH.D
- Clinical Psychologist
- Bellevue, WA
National Provider Identifier
1972926129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60416093
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PY60416093 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Minds PC | Clinical Neuropsychologist | Current | Accepting new patients |
| Oscar J. Benitez, PHD Inc | Clinical | Past | 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.
-
- Clinical Neuropsychologist
- Bellevue, WA
- NPI 1508328279
-
- Clinical Psychologist
- Bellevue, WA
- NPI 1336426568
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.