BELLEVUE CLINIC FOR BEHAVIORAL HEALTH
NPI 1124481783
Psychologist - Prescribing (Medical) in Bellevue, WA

Active since March 31, 2016
2105 112TH AVE NE, SUITE 201, BELLEVUE, WA 98004(253) 347-2665 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bellevue Clinic For Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLEVUE CLINIC FOR BEHAVIORAL HEALTH (NPI 1124481783) is a healthcare organization registered as a prescribing (medical) in Bellevue, Washington and active in the NPI registry since March 2016. The organization lists Osama Bankesly, President, as its authorized official.

NPPES Registry Identity

NPI1124481783
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameBELLEVUE CLINIC FOR BEHAVIORAL HEALTH
Location Address2105 112TH AVE NE, SUITE 201Bellevue, WA 98004-2945
Mailing Address2105 112th Ave Ne, Suite 201Bellevue, WA 98004-2945
Organization SubpartNo
Authorized OfficialOsama BankeslyPresident · (206) 403-8814
Enumeration DateMarch 31, 2016
NPI 1124481783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License Licensed in WA · MD00045130
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
2105 112TH AVE NE, Bellevue, WA 98004

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
2105 112TH AVE NE, #200
BELLEVUE, WA 98004
Dietitian, Registered
2105 112TH AVE NE
BELLEVUE, WA 98004
Family Medicine
2105 112TH AVE NE
BELLEVUE, WA 98004
Marriage & Family Therapist
2105 112TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Psychiatry & Neurology (Psychiatry)
2105 112TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Psychologist
2105 112TH AVE NE, SUITE 101
BELLEVUE, WA 98004
Counselor (Addiction (Substance Use Disorder))
2105 112TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Marriage & Family Therapist
2105 112TH AVE NE, SUITE 200
BELLEVUE, WA 98004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bellevue Clinic For Behavioral Health's NPI number?

The NPI number for Bellevue Clinic For Behavioral Health is 1124481783. It was assigned to this organization in the NPPES registry on March 31, 2016.

Where is Bellevue Clinic For Behavioral Health located?

Bellevue Clinic For Behavioral Health is located at 2105 112th Ave NE Suite 201, Bellevue, WA 98004. The listed phone number is (253) 347-2665.

What is Bellevue Clinic For Behavioral Health's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

What insurance does Bellevue Clinic For Behavioral Health accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Bellevue Clinic For Behavioral Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bellevue Clinic For Behavioral Health was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.