# UNDER ONE ROOF PSYCHOLOGICAL SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467126607
- **Authorized official:** MELISSA BADENNA (ADMIN DIRECT)
- **Authorized official phone:** (206) 257-0134

## Contact information

- **Practice address:** 4915 25TH AVE NE STE 102W, SEATTLE, WA 98105-5667
- **Practice address phone:** (206) 257-0134
- **Practice address fax:** (206) 397-4962
- **Mailing address:** 4915 25TH AVE NE STE 102W, SEATTLE, WA 98105-5667
- **Mailing address phone:** (206) 257-0134
- **Mailing address fax:** (206) 397-4962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/02/2021
- **Last updated:** 08/02/2021