MADISON BERTOLIN (NPI# 1003429721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
Street Address |
415 1ST AVE N STE 200 |
City | SEATTLE |
State | WA |
Zip Code | 98109-4765 |
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 |
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 |
Find all providers in zip 98109 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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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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.