ALEXANDRIA RAENE MCCULLOCH
NPI 1205568300
Nurse Practitioner - Psychiatric/Mental Health in Bellevue, WA

Active since June 28, 2022
40 LAKE BELLEVUE DR STE 100, BELLEVUE, WA 98005(206) 793-7168 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 2, 2025, Nov 22, 2022, Sep 30, 2022 (3 updates tracked since 2022).

About Alexandria Raene Mcculloch NPPES

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

ALEXANDRIA RAENE MCCULLOCH (NPI 1205568300) is an individual psychiatric/mental health provider in Bellevue, Washington, licensed in Washington (AP61370661) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1205568300
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALEXANDRIA RAENE MCCULLOCH
Location Address40 LAKE BELLEVUE DR STE 100Bellevue, WA 98005-2480
Mailing Address40 Lake Bellevue Dr Ste 100Bellevue, WA 98005-2480 · (206) 793-7168
Sole ProprietorNo
Enumeration DateJune 28, 2022
Last NPPES UpdateApril 2, 20253 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1205568300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · AP61370661
40 LAKE BELLEVUE DR STE 100, Bellevue, WA 98005

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Psychiatry & Neurology (Psychiatry)
40 LAKE BELLEVUE DR STE 100
BELLEVUE, WA 98005
Counselor (Professional)
40 LAKE BELLEVUE DR STE 100
BELLEVUE, WA 98005
Psychologist (Clinical)
40 LAKE BELLEVUE DR STE 100
BELLEVUE, WA 98005
Marriage & Family Therapist
40 LAKE BELLEVUE DR STE 100
BELLEVUE, WA 98005
Counselor
40 LAKE BELLEVUE DR STE 100
BELLEVUE, WA 98005
Clinic/Center (Mental Health (Including Community Mental Health Center))
40 LAKE BELLEVUE DR STE 100
BELLEVUE, WA 98005
Counselor (Mental Health)
40 LAKE BELLEVUE DR STE 100
BELLEVUE, WA 98005
Psychiatry & Neurology (Child & Adolescent Psychiatry)
40 LAKE BELLEVUE DR STE 100
BELLEVUE, WA 98005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205568300, enumerated as an "individual" on June 28, 2022.

The provider is located at 40 LAKE BELLEVUE DR STE 100 BELLEVUE, WA 98005 and the phone number is (206) 793-7168.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: BridgeSpan Health Company, Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.