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

NPI Status: Active since March 31, 2016

Contact Information

2105 112TH AVE NE
SUITE 201
BELLEVUE, WA
ZIP 98004
Phone: (253) 347-2665

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  • Organization
  • Psychologist
  • Prescribing (Medical)
  • Accepts Insurance

About BELLEVUE CLINIC FOR BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Bellevue Clinic For Behavioral Health, a provider established in Bellevue, Washington operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1124481783 assigned on March 2016. The practitioner's primary taxonomy code is 103TP0016X with license number MD00045130 (WA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Osama Bankesly Md (President)

NPI
1124481783
Provider Name
BELLEVUE CLINIC FOR BEHAVIORAL HEALTH
Entity Type
Organization
Location Address
2105 112TH AVE NE SUITE 201 BELLEVUE, WA 98004
Location Phone
(253) 347-2665
Mailing Address
2105 112TH AVE NE SUITE 201 BELLEVUE, WA 98004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2016
Last Update Date
03-31-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Prescribing (Medical)

Taxonomy Code
103TP0016X
Type
Behavioral Health & Social Service Providers
License No.
MD00045130
License State
WA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. OSAMA BANKESLY MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(206) 403-8814

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124481783, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 8 + 8 + 2 + 7 + 1 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1124481783.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124481783, enumerated as an "organization" on March 31, 2016.

The provider is located at 2105 112TH AVE NE SUITE 201 BELLEVUE, WA 98004 and the phone number is (253) 347-2665.

Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.