DR. MATTHEW JAMES BENNETT (NPI# 1003954330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003954330 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JAMES BENNETT |
| Credential | PSYD |
| Practice Address |
1400 112th Ave Se Suite 100 Bellevue WA 98004-6901 |
| Mailing Address |
2246 Nw Harmony Way Issaquah WA 98027-5488 |
| Practice Telephone | 4256067548 |
| Practice Fax Number | 4256570844 |
| Mailing Telephone | 4256067548 |
| Mailing Fax Number | 4256570844 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2015-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY60482081 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275879363 | Matthew Scott Bennett | Pharmacist | 6850 N. Lombard, Portland, OR 97203 | 2012-12-18 |
| 1144497306 | Matthew Bennett | Counselor | 701 E Santa Clara St Ste 28d, Ventura, CA 93001-5960 | 2008-05-15 |
| 1316149792 | Matthew Scott Bennett | Psychologist | 1701 Burnt Boat Dr Fl 2, Bismarck, ND 58503-0812 | 2007-06-05 |
| 1144205899 | Matthew P Bennett | Anesthesiology | 2804 Dr John Haynes Dr, Pell City, AL 35125-1438 | 2005-12-14 |
| 1497282529 | Matthew Lee Bennett | Physical Therapist | 3915 Golden Valley Rd, Minneapolis, MN 55422-4249 | 2017-05-19 |
| 1578096996 | Matthew Bennett | Chiropractor | 1178 Fremont Ct, Elkhart, IN 46516-9321 | 2017-04-04 |
| 1184173429 | Matthew E Bennett | Physician Assistant | 89 W Copeland Dr Fl 2, Orlando, FL 32806 | 2016-09-28 |
| 1639583271 | Matthew Bennett | Physical Therapist | 6818 Austin Center Blvd Ste 111, Austin, TX 78731-3199 | 2014-06-11 |
| 1376955971 | Matthew Ray Bennett | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2014-05-30 |
| 1043579600 | Matthew Evans Bennett | Surgery | 1100 9th Ave, Seattle, WA 98101-2756 | 2012-05-16 |
| Street Address |
1400 112TH AVE SE SUITE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760418560 | Tatjana Deretic | Psychiatry & Neurology | 1400 112th Ave Se, Ste. 100, Bellevue, WA 98004-6901 | 2006-06-23 |
| 1508392929 | Equilibrium PCs, Pllc | Psychologist | 1400 112th Ave Se, Suite 205, Bellevue, WA 98004-6901 | 2017-05-04 |
| 1881066652 | Karla Garcia | Social Worker | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2015-10-20 |
| 1417328691 | Tessa Nicole Cooke | Counselor | 1400 112th Ave Se, Ste. 100 #35, Bellevue, WA 98004-6901 | 2015-10-13 |
| 1437540788 | Patti Davis Counseling | Community/Behavioral Health | 1400 112th Ave Se, Cedar Building Suite 202, Bellevue, WA 98004-6901 | 2015-02-09 |
| 1962801811 | Linda Mcgarvey | Counselor | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2014-08-16 |
| 1255742896 | Michael Keegan | Counselor | 1400 112th Ave Se, Ste 202, Bellevue, WA 98004-6901 | 2014-05-16 |
| 1003244948 | Jessica Kicha | Counselor | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2013-10-30 |
| 1407291578 | Shannon Marie Dickson | Specialist | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2013-05-02 |
| 1376892711 | Susan Ross | Social Worker | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2012-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568836088 | Max Shannon | Psychologist | 6637 114th Ave Se, Bellevue, WA 98006-6433 | 2015-11-20 |
| 1801228960 | Shira Olsen | Psychologist | 2370 130th Ave Ne Ste 104, Bellevue, WA 98005-1770 | 2013-07-31 |
| 1588002646 | James A Chidester II | Psychologist | 1720 130th Ave Ne Ste 149, Bellevue, WA 98005-2272 | 2013-06-11 |
| 1437421278 | Jessica B Misner | Psychologist | 1800 112th Ave Ne Suite 301e, Bellevue, WA 98004 | 2012-02-08 |
| 1104103423 | Oscar Joseph Benitez | Psychologist | 1601 114th Ave Se Ste 100, Bellevue, WA 98004-6904 | 2011-11-15 |
| 1003115429 | Daniel Stephen Benveniste | Psychologist | 1450 114th Ave Se Ste 105, Bellevue, WA 98004-6934 | 2011-03-24 |
| 1962720177 | Blakely J Werner | Psychologist | 930 170th Pl Se, Bellevue, WA 98008-5237 | 2010-05-12 |
| 1356674402 | Masaki Mark Yamada | Psychologist | 1400 112th Ave Se Ste 204, Bellevue, WA 98004-6901 | 2009-09-08 |
| 1699936948 | O'neill Psychological Services Inc | Psychologist | 365 118th Ave Se Suite 118, Bellevue, WA 98005 | 2008-06-19 |
| 1720270036 | Cynthia Ann Mason | Psychologist | 1601 114th Ave Se Ste 145, Bellevue, WA 98004-6904 | 2007-08-10 |
| Find all providers in BELLEVUE | ||||
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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.