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

Ccm Specialty Care LLC

Organization Clinical Neuropsychologist · NPI 1790578557

Ccm Specialty Care LLC is a Clinical Neuropsychologist in Bellevue, Washington. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
7
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

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X
Clinical Neuropsychologist Taxonomy 103G00000X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Pediatrics Physician Taxonomy 208000000X
Pediatric Obesity Medicine Physician Taxonomy 2080B0002X
Child Abuse Pediatrics Physician Taxonomy 2080C0008X
Physician Nutrition Specialist (Pediatrics) Taxonomy 2080P1004X

Record details

NPI number1790578557
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCcm Specialty Care LLC
Authorized official Christopher Cheng — Medical Director · (425) 276-1825
Other names Ccm Adolescent Medicine 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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