Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ccm Specialty Care LLC

Organization Cognitive & Behavioral Psychologist · NPI 1528851383

Ccm Specialty Care LLC is a Cognitive & Behavioral Psychologist in Bellevue, Washington. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
13
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1940 116th Ave NE Ste 200B
Bellevue, WA 98004-3097
Phone: (425) 276-1825
Fax: (855) 785-8770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X
Case Manager/Care Coordinator Taxonomy 171M00000X
Pediatrics Physician Taxonomy 208000000X
Pediatric Neurodevelopmental Disabilities Physician Taxonomy 2080P0008X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician Taxonomy 2084D0003X
Epilepsy Physician Taxonomy 2084E0001X
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X
Psychiatry Physician Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1528851383
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCcm Specialty Care LLC
Authorized official Christopher Cheng — Medical Director · (425) 276-1825
Other names Pediatric Neurology And Psychiatry
NPI enumeratedMay 26, 2025
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address710 S 348th St Ste B, Federal Way, WA 98003-7042

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