DR. HOWARD BERRYMAN EDWARDS (NPI# 1609915685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609915685 |
| Entity Type | Individual |
| Full Name | DR. HOWARD BERRYMAN EDWARDS |
| Credential | M.D. |
| Practice Address |
14205 Se 36th St 100 Bellevue WA 98006-1596 |
| Practice Telephone | 4259986123 |
| Mailing Telephone | 4259986123 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD00022387 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801110556 | Howard C Edwards Jr. | Pharmacist | 1620 Century Center Pkwy, Memphis, TN 38134-0181 | 2010-03-24 |
| 1952557209 | Howard Charles Edwards Jr. | Family Medicine | 12565 W Center Rd, Suite 100, Omaha, NE 68144-3802 | 2008-08-18 |
| Street Address |
14205 SE 36TH ST 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-1596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982798534 | Ruth Schneider | Social Worker | 14205 Se 36th St, Suite 100, Bellevue, WA 98006-1596 | 2006-10-03 |
| 1568901767 | Purebraces LLC | Clinic/Center | 14205 Se 36th St, Suite 365, Bellevue, WA 98006-1596 | 2017-02-21 |
| 1417401845 | Shari Corboy | Behavioral Analyst | 14205 Se 36th St, Suite 100, Bellevue, WA 98006-1596 | 2016-08-15 |
| 1215089545 | Lana Polinger | Counselor | 14205 Se 36th St, 131, Bellevue, WA 98006-1596 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003346594 | Magnolia Psychiatry, LLC | Psychiatry & Neurology | 12729 Northup Way Ste 6, Bellevue, WA 98005-1935 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003236761 | Daniel Magliozzi | Psychiatry & Neurology | Va American Lake 9600 Veterans Drive Southwest, Tacoma, WA 98493-6560 | 2014-04-22 |
| 1649461740 | Center for Assessment & Therapy Services Ps | Psychiatry & Neurology | 10634 E Riverside Dr, Suite 130, Bothell, WA 98011-3757 | 2007-08-05 |
| 1962583609 | Craig Jaffe | Psychiatry & Neurology | 216 James St, Seattle, WA 98104-2212 | 2006-10-18 |
| 1063451805 | Daniel Eugene Wolf | Psychiatry & Neurology | 6537 35th Ave Sw, Seattle, WA 98126-3005 | 2006-06-06 |
| 1235765280 | Pacific Phoenix Group Pllc | Psychiatry & Neurology | 601 Main St Ste 505, Vancouver, WA 98660-3414 | 2020-03-20 |
| 1215179585 | Alexandra March Bright | Psychiatry & Neurology | 12360 Lake City Way Ne, Suite 200, Seattle, WA 98125-5447 | 2009-04-01 |
| 1780851261 | Fred Adams Montgomery | Psychiatry & Neurology | 215 S 11th Ave, D, Yakima, WA 98902-3255 | 2008-05-13 |
| 1831227065 | Richard K Ries | Psychiatry & Neurology | 325 9th Ave, Seattle, WA 98104-2420 | 2007-03-01 |
| 1518064955 | Rosa Frances Merino | Psychiatry & Neurology | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2006-09-20 |
| 1215049176 | George Timothy Bondurant | Psychiatry & Neurology | 1660 S Columbian Way, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108-1532 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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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.