CCM SPECIALTY CARE LLC
CCM SPECIALTY CARE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1528851383, based in Bellevue, WA. The organization lists 13 taxonomy classifications, with Neurology Physician recorded as primary.
Getting there
The practice address on file is 1940 116TH AVE NE STE 200B, Bellevue, WA 98004. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Neurology covers
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NUCC Health Care Provider Taxonomy, code 2084N0400X
All registered taxonomy codes
This provider registers 13 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | — | — | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | — | — | |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist Intellectual & Developmental Disabilities | — | — | |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician Diagnostic Neuroimaging | — | — | |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse Psychiatric/Mental Health, Child & Adolescent | — | — | |
| 2084P0800X | Psychiatry Physician Psychiatry | — | — | |
| 2084P0804X | Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry | — | — | |
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | — | — | |
| 208000000X | Pediatrics Physician | — | — | |
| 2080P0008X | Pediatric Neurodevelopmental Disabilities Physician Neurodevelopmental Disabilities | — | — | |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician Neurology with Special Qualifications in Child Neurology | — | — | |
| 2084E0001X | Epilepsy Physician Epilepsy | — | — | |
| 2084N0400X | Neurology Physician Neurology | — | — | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1528851383 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 26, 2025 |
| Last updated | May 14, 2026 |
| Status | Active |
| Practice address |
1940 116TH AVE NE STE 200B Bellevue, WA 98004 (425) 276-1825 Fax (855) 785-8770 |
| Mailing address |
710 S 348TH ST STE B Federal Way, WA 98003 |
| Other names |
Pediatric Neurology And Psychiatry Former Legal Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 2 | 8 | 8 | 5 | 1 | 3 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 4 | 8 | 7 | 5 | 2 | 3 | 7 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.