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Deactivated NPI 1275070799 Deactivated / Inactive NPI Female Practitioner

Dr. Bonny Chang , PhD

Psychologist • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bonny Chang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2017
NPI Deactivation Date March 30, 2019
Total Practice Duration ~2 Years of Practice (2017 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Bonny Chang, PhD was a registered Psychologist practicing in Seattle, WA. Throughout an active medical career spanning 2 years, Dr. Chang provided care at the practice location at 3250 AIRPORT WAY S STE 530 until profile deactivation on 2019-03-30.

Practice Location & Contact Primary Location

Practice Address

3250 Airport Way S Ste 530

Seattle, WA 981342111

Telephone 7327036880

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
322 Specialists

Practicing in Seattle, WA (1137 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-03
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WA 60704331

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1326772302

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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Updated Practice Location April 03, 2023

Registered at 3250 AIRPORT WAY S STE 530, SEATTLE, WA 981342111 (Tel: 7327036880)

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Updated Business Mailing Address April 03, 2023

Registered at 2501 SW TRENTON ST # 1108, SEATTLE, WA 981063206 (Tel: 7327036880)

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Updated Practice Location December 18, 2019

Registered at 564 NE RAVENNA BLVD, SEATTLE, WA 98115 (Tel: 2065272273)

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Updated Business Mailing Address December 18, 2019

Registered at 564 NE RAVENNA BLVD, SEATTLE, WA 98115 (Tel: 2065272266)

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Provider Name / Credentials Updated December 18, 2019

Recorded as BONNY CHANG, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2019

Psychologist (License #60704331 in WA)

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NPI Profile Deactivated March 30, 2019

Record deactivated on March 30, 2019

NPI Profile Active January 22, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2017

Registered at 108 S JACKSON ST, SUITE 203, SEATTLE, WA 981043802 (Tel: 7032177941)

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Updated Business Mailing Address January 22, 2017

Registered at 7718 37TH AVE NE, SEATTLE, WA 981154902 (Tel: 7032177941)

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Provider Name / Credentials Updated January 22, 2017

Recorded as BONNY CHANG, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2017

Psychologist (License #60704331 in WA)

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Initial NPI Registration & Enumeration January 22, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275070799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2017
Last Update: April 03, 2023
Deactivation Date: March 30, 2019
Sole Proprietor: Yes

Mailing Address

2501 Sw Trenton St # 1108

Seattle, WA 981063206

Phone: 7327036880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.