Ccm Specialty Care LLC
Psychiatry & Neurology, Neurology in Bellevue, WA. Organization (NPI-2).
NPI number1528851383
StatusActive
Last updated in NPPESSep 14, 2026
Details
- NPI
- 1528851383
- Entity type
- Organization (NPI-2)
- Legal business name
- Ccm Specialty Care LLC
- Organization subpart
- Yes
- Enumeration date
- May 26, 2025
- Certification date
- Sep 14, 2026
- Last updated
- Sep 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | – | – | |
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 208000000X | Pediatrics | – | – | |
| 2080P0008X | Pediatrics, Neurodevelopmental Disabilities | – | – | |
| 2084D0003X | Psychiatry & Neurology, Diagnostic Neuroimaging | – | – | |
| 2084E0001X | Psychiatry & Neurology, Epilepsy | – | – | |
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – |
Other names
- Pediatric Neurology And Psychiatry (Doing Business As)
Practice location
1940 116th Ave Ne Ste 200bBellevue, WA 98004-3097
Phone 425-276-1825 · Fax 855-785-8770
Mailing address
710 S 348th St Ste BFederal Way, WA 98003-7042
Phone 425-276-1825 · Fax 855-785-8770
Authorized official
Christopher Cheng
Medical Director
4252761825
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