BENJAMIN H.K. BALDERSON PHD
NPI 1902019201
Psychologist - Clinical in Seattle, WA

Q: What is Benjamin Balderson's NPI number?

The NPI number for Benjamin Balderson is 1902019201. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Q: What is Benjamin Balderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 07, 2007PECOS Enrolled

1730 MINOR AVE STE 1400, SEATTLE, WA 98101(206) 287-2500 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Benjamin H.k. Balderson Phd NPPES

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

BENJAMIN H.K. BALDERSON PHD (NPI 1902019201) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY00003078) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902019201

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameBENJAMIN H.K. BALDERSONCredential: PHD

Location Address1730 MINOR AVE STE 1400Seattle, WA 98101-1466

Mailing Address1730 Minor Ave Ste 1600Seattle, WA 98101-1466 · (206) 287-2500

Phone(206) 287-2500

Sole ProprietorNo

Enumeration DateMay 7, 2007

Last NPPES UpdateApril 12, 2021

NPPES CertifiedApril 12, 2021

✔ NPI 1902019201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · PY00003078

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1730 MINOR AVE STE 1400, Seattle, WA 98101

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin H.k. Balderson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Balderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington

0.5 mi

Multi-Specialty

320 WESTLAKE AVE. N., SUITE 100
Seattle, WA 98109

Reassigned Medicare billing, Washington enrollment
2,678 clinicians in this Medicare group

NPI 1396810701 (206) 448-6561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$189.37 typical visit price

range $63.67 – $189.37

Typical copayment $47.34 (range $15.91 – $47.34)

Most-billed visit code 99205

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Benjamin Balderson's NPI number?

The NPI number for Benjamin Balderson is 1902019201. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Benjamin Balderson located?

Benjamin Balderson practices at 1730 Minor Ave Ste 1400, Seattle, WA 98101. The listed phone number is (206) 287-2500.

What is Benjamin Balderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Benjamin Balderson enrolled in Medicare?

Yes. Benjamin Balderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Balderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Balderson reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Balderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Balderson was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.