DR. JACK RASKIN (NPI# 1710223896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710223896 |
| Entity Type | Individual |
| Full Name | DR. JACK RASKIN |
| Credential | M.D. |
| Practice Address |
2624 161st Ave Se Bellevue WA 98008-5424 |
| Practice Telephone | 4256411682 |
| Mailing Telephone | 4256411682 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD00011214 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
2624 161ST AVE SE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98008-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528540416 | Rodica Belindean | Nurse's Aide | 3022 167th Ave Ne, Bellevue, WA 98008 | 2018-09-06 |
| 1831600030 | Daily Nutrition for Life LLC | Nutritionist | 15600 Ne 8th St Ste B1-707, Bellevue, WA 98008 | 2017-10-16 |
| 1871003913 | Sara Ann Glatz | Massage Therapist | 51 157th Ave Se, Bellevue, WA 98008 | 2017-10-03 |
| 1336555630 | Elizabeth Cheri Anne Smith | Dentist | 1223 158th Ave Se, Bellevue, WA 98008 | 2014-07-08 |
| 1407269731 | Akiko Kinney | Counselor | 16301 Ne 8th St., Bellevue, WA 98008 | 2014-06-04 |
| 1184042996 | Sara Francine York | Counselor | 16301 Ne 8th St. Ste 150, Puget Sound Child and Family Therapy, Bellevue, WA 98008 | 2014-03-31 |
| 1861819906 | Kimberly Song Truong | Acupuncturist | 15650 Ne 24th Street, Suite C1, Bellevue, WA 98008 | 2014-03-26 |
| 1336414614 | Alison Butler | Massage Therapist | 50 157th Ave Se, Bellevue, WA 98008 | 2012-03-20 |
| 1184998593 | Zynergy Chiropractic | Chiropractor | 15616 Bel-red Rd, Bellevue, WA 98008 | 2012-03-02 |
| 1043516149 | Ricardo Fernandez | Massage Therapist | 16301 Ne8th St Suite280, Bellevue, WA 98008 | 2011-02-07 |
| Find all providers in zip 98008 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306000898 | Amy Lazar | Psychiatry & Neurology | 11820 Northup Way Ste E200, Bellevue, WA 98005-1966 | 2008-07-14 |
| 1497883326 | John Creighton Rose | Psychiatry & Neurology | 14030 Ne 24th St Ste 104, Bellevue, WA 98007-3731 | 2007-03-01 |
| 1023265188 | Romelia Perez | Psychiatry & Neurology | 1611 116th Ave Ne, Suite 132, Bellevue, WA 98004-3045 | 2008-08-20 |
| 1134385719 | Alicia Grattan Jorgenson | Psychiatry & Neurology | 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 | 2008-08-02 |
| 1013177237 | Ashok Shimoji-krishnan | Psychiatry & Neurology | 13451 Se 36th St, Bellevue, WA 98006-1475 | 2008-06-11 |
| 1871648204 | Carola E Bosenberg | Psychiatry & Neurology | 1611 116th Ave Ne, Suite 218, Bellevue, WA 98004-3045 | 2007-01-24 |
| 1053487306 | Edward William Freedman | Psychiatry & Neurology | 1621 114th Ave Se, Suite 221, Bellevue, WA 98004-6956 | 2006-11-28 |
| 1851465959 | Irving J Kohlberg | Psychiatry & Neurology | 1300 114th Ave Se, Suite 115, Bellevue, WA 98004-6942 | 2006-11-20 |
| 1699849703 | John F Pastor | Psychiatry & Neurology | 1300 114th Ave Se, Suite 115, Bellevue, WA 98004-6942 | 2006-11-20 |
| 1609960368 | Andrea Eisner | Psychiatry & Neurology | 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 | 2006-10-03 |
| 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.