Ccm Specialty Care LLC
NPI 1790578557 · Pediatric Adolescent Medicine Physician · Bellevue, WA
Provider details
- NPI number
- 1790578557
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ccm Specialty Care LLC
- Organization subpart
- Yes
- Authorized official
- Christopher Cheng, Medical Director(425) 276-1825
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Child Abuse Pediatrics Physician2080C0008X
Allopathic & Osteopathic Physicians
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ccm Adolescent Medicine and Psychiatry
Registry dates
- Enumerated
- 2025-05-26
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.