Organization · Type 2 NPI

CCM Specialty Care LLC

Developmental - Behavioral Pediatrics Physician · Bellevue, WA

NPI number 1891588653 Active

Practice location

1940 116th Ave NE Ste 200B
Bellevue, WA 98004-3097

Mailing address

710 S 348th St Ste B
Federal Way, WA 98003-7042

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse 163WC0400XNone listed
Pediatrics Physician 208000000XNone listed
Child Abuse Pediatrics Physician 2080C0008XNone listed
Developmental - Behavioral Pediatrics Physician Primary 2080P0006XNone listed
Pediatric Neurodevelopmental Disabilities Physician 2080P0008XNone listed
Behavioral Neurology & Neuropsychiatry Physician 2084B0040XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed

Developmental - Behavioral Pediatrics Physician: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions…

7 other providers at this address

About NPI 1891588653

CCM Specialty Care LLC's National Provider Identifier is 1891588653, issued on May 26, 2025. The primary taxonomy on file is Developmental - Behavioral Pediatrics Physician (2080P0006X), and the practice location is in Bellevue, WA. The record was last updated on Sep 14, 2026.