CCM SPECIALTY CARE LLC – NPI #1891588653
Pediatrics

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 that compromise children's development.

CCM SPECIALTY CARE LLC is a provider located in BELLEVUE, WA. NPPES has assigned the NPI number 1891588653 to CCM SPECIALTY CARE LLC on May 26, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0006X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Developmental - Behavioral Pediatrics Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 14, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCM SPECIALTY CARE LLC below.

NPI Profile for
CCM SPECIALTY CARE LLC

NPI Number
1891588653
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCM SPECIALTY CARE LLC
Primary location
1940 116TH AVE NE STE 200B
BELLEVUE, WA 98004-3097
Phone: (425) 276-1825 Fax:
Mailing address
710 S 348TH ST STE B
FEDERAL WAY, WA 98003-7042
Phone: (425) 276-1825 Fax:
Organization Subpart
Yes - CCM SPECIALTY CARE LLC is subpart of another organization.
Authorized Official
CHRISTOPHER CHENG
MEDICAL DIRECTOR
Phone: (425) 276-1825
Updated
Certification Date
May 14, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.