GEORGE WILLIAM RECKNAGEL JR. (NPI# 1114031176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114031176 |
| Entity Type | Individual |
| Full Name | GEORGE WILLIAM RECKNAGEL JR. |
| Credential | PH.D. |
| Practice Address |
9 Lake Bellevue Dr Ste 217 Bellevue WA 98005-2454 |
| Mailing Address |
4819 Ne 93rd St P.o. Box 15153 Seattle WA 98115-3930 |
| Practice Telephone | 2068184179 |
| Practice Fax Number | 2067291479 |
| Mailing Telephone | 2068184179 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY00002604 | WA | Behavioral Health & Social Service Providers |
| Street Address |
9 LAKE BELLEVUE DR STE 217 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922592062 | Holly Grigsby, Pllc | Counselor | 9 Lake Bellevue Dr Ste 217, Bellevue, WA 98005-2454 | 2018-06-21 |
| 1548718547 | John-michael Spangler | Counselor | 9 Lake Bellevue Dr Ste 217, Bellevue, WA 98005-2454 | 2016-09-19 |
| 1669888590 | Marilyn Litta Lazaro | Counselor | 9 Lake Bellevue Dr Ste 217, Bellevue, WA 98005-2454 | 2014-07-11 |
| 1821347816 | Robin Howard Allen | Counselor | 9 Lake Bellevue Dr Ste 217, Bellevue, WA 98005-2454 | 2012-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| 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.