MADISON BERTOLIN


Address: 415 1st Ave N Ste 200, Seattle, WA 98109-4765
Phone: 2068595030

MADISON BERTOLIN (NPI# 1003429721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003429721
Entity Type Individual
Full Name MADISON BERTOLIN
Practice Address 415 1st Ave N Ste 200
Seattle
WA 98109-4765
Practice Telephone 2068595030
Enumeration Date 2020-08-24
Last Update Date 2020-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Office Location

Street Address 415 1ST AVE N STE 200
City SEATTLE
State WA
Zip Code 98109-4765

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730239633 Shelly L. Appleton Occupational Therapist 415 1st Ave N Ste 200, Seattle, WA 98109-4744 2007-01-11
1053896662 Matthew Mcfarland Speech-Language Pathologist 415 1st Ave N Ste 200, Seattle, WA 98109-4765 2018-09-28

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NPI Name Taxonomy Address Enumeration
1710590179 Direct Urgent Care Inc Internal Medicine 220 6th Avenue North, Seattle, WA 98109 2020-08-26
1073147104 Hannah Christine Hoyt Registered Nurse 1354 Aloha St, Seattle, WA 98109 2020-02-27
1508402645 Emily Elizabeth Rock Counselor Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 2019-11-25
1770048464 Roger Leach Massage Therapist 4162, Roy Street, Seattle, WA 98109 2019-02-06
1306316658 Laura Katie Richer Counselor 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 2018-11-29
1912492828 One Medical Group of Washington, P.C. Psychologist 625 Boren Avenue North, Seattle, WA 98109 2018-06-25
1942793526 Washington Dental Corporation, PC Dentist 527 Boren Ave N, Seattle, WA 98109 2018-06-08
1417449968 Chelsie Mccalla Occupational Therapy Assistant Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 2018-05-31
1710405964 Next Level Sports Performance Consulting Clinic/Center 24 Roy Street, #461, Seattle, WA 98109 2017-09-07
1679091953 Amy Ly Indorf Pharmacist 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 2017-09-06
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083781348 David Martin White Clinical Neuropsychologist 150 Nickerson St Ste 104, Seattle, WA 98109-1634 2006-11-29
1659482578 Phyllis Sanchez Clinical Neuropsychologist 1402 3rd Ave, Ste. 624, Seattle, WA 98101-2195 2006-08-31
1437791613 Gabrielle Alvarez Clinical Neuropsychologist 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2019-10-09
1114456035 Nickolas Arion Dasher Clinical Neuropsychologist 1959 Ne Pacific St, Seattle, WA 98195-0001 2017-06-05
1255787701 Alan R. Breen, Phd, Pllc Clinical Neuropsychologist 411 12th Ave, Ste 305, Seattle, WA 98122 2016-05-13
1285011783 Natalia Kleinhans Clinical Neuropsychologist 325 9th Ave, Box 357115, Seattle, WA 98104-2420 2015-05-04
1801209986 Katherine S Bowen Clinical Neuropsychologist 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2014-06-06
1871843680 Sarah K. Noonan Clinical Neuropsychologist 1660 S Columbian Way, Rcs-117, Seattle, WA 98108-1532 2012-09-19
1205129210 Kenneth L Kassover Clinical Neuropsychologist 4300 Aurora Ave N, Suite 100, Seattle, WA 98103-7379 2011-05-24
1386946911 Pamela M Dean Clinical Neuropsychologist 1660 S Columbian Way, Va Puget Sound Healthcare System, Seattle Division, Seattle, WA 98108-1532 2010-12-02
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Competitor

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City SEATTLE
Zip Code 98109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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