DR. HANAN S. BERMAN (NPI# 1063514974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063514974 |
| Entity Type | Individual |
| Full Name | DR. HANAN S. BERMAN |
| Credential | PH.D. |
| Practice Address |
11415 Ne 128th St Suite 100 Kirkland WA 98034-6314 |
| Practice Telephone | 4258234869 |
| Practice Fax Number | 4258234869 |
| Mailing Telephone | 4258234869 |
| Mailing Fax Number | 4258234869 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0951 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE | BE8122 | 01 |
| WA | LABOR & INDUSTRIES | 0031708 | 01 |
| WA | CRIME VICTIM COMPENSATION | 8902897 | 01 |
| Street Address |
11415 NE 128TH ST SUITE 100 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841272333 | Lois Jean Matthews | Counselor | 11415 Ne 128th St, Suite 100, Kirkland, WA 98034-6314 | 2005-11-18 |
| 1073057659 | Ryan Q Patterson Ma Lmhc Pllc | Counselor | 11415 Ne 128th St, Suite 30, Kirkland, WA 98034-6314 | 2016-12-15 |
| 1578010880 | Ka Sin Wong | Behavioral Analyst | 11415 Ne 128th St, Suite 40, Kirkland, WA 98034-6314 | 2016-09-02 |
| 1033560297 | Kimberly Stalford | Behavioral Analyst | 11415 Ne 128th St, Suite 40, Kirkland, WA 98034-6314 | 2016-06-28 |
| 1639523145 | Heather Rachelle Smyth | Behavioral Analyst | 11415 Ne 128th St, Suite 40, Kirkland, WA 98034-6314 | 2016-04-20 |
| 1750748208 | Ryan Green | Behavioral Analyst | 11415 Ne 128th St, Suite 10, Kirkland, WA 98034-6314 | 2016-01-27 |
| 1376911792 | Jennifer Haley Dame | Behavioral Analyst | 11415 Ne 128th St, Suite 40, Kirkland, WA 98034-6314 | 2015-09-02 |
| 1457735573 | Isabelle Kaplan | Counselor | 11415 Ne 128th St, Kirkland, WA 98034-6314 | 2015-07-17 |
| 1508248014 | Tal-lim Kapelak | Behavioral Analyst | 11415 Ne 128th St, Suite 40, Kirkland, WA 98034-6314 | 2015-06-19 |
| 1417338062 | Sarah Patrice Johnston | Behavioral Analyst | 11415 Ne 128th St, Suite 40, Kirkland, WA 98034-6314 | 2015-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003435694 | Jared Newman Kilmer | Psychologist | 12025 115th Ave Ne Ste 215, Kirkland, WA 98034-6943 | 2020-04-13 |
| 1902441751 | Pacific Wellness Partners (pwp) Pllc | Psychologist | 5400 Carillon Pt Bldg 50004th, Kirkland, WA 98033-7357 | 2019-11-14 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1689997587 | Janet Maring Kowalski | Psychologist | 12220 113th Ave Ne Ste 210, Kirkland, WA 98034-6950 | 2010-03-05 |
| 1992849335 | Neal and Bakewell Psychological and Counseling Services Inc | Psychologist | 105 Central Way, Suite 200, Kirkland, WA 98033-6162 | 2007-02-19 |
| 1164594347 | David Wesley Montgomery | Psychologist | 433 State St Ste 2, Kirkland, WA 98033-6615 | 2006-11-14 |
| 1760567580 | Michelle Toshika Toshima | Psychologist | 12333 Ne 130th Ln Ste 225, Kirkland, WA 98034-7467 | 2006-10-27 |
| 1518040732 | Scott William Lee | Psychologist | 12412 Ne 112th Pl, Kirkland, WA 98033-4111 | 2006-10-23 |
| 1568560282 | Paul David Smetko | Psychologist | 10604 Ne 38th Pl, Suite 132, Kirkland, WA 98033-7933 | 2006-09-20 |
| 1386746139 | Karen Anne Beckman | Psychologist | 620 Kirkland Way Ste 104, Kirkland, WA 98033-6021 | 2006-09-02 |
| Find all providers in KIRKLAND | ||||
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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.