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Organization
CCM SPECIALTY CARE LLC
Active
Organization
CCM SPECIALTY CARE LLC
Active
Parent organization
CCM SPECIALTY CARE LLC
Other names
CCM Pediatric Behavioral and Developemental
Organization subpart
Yes
Provider details
NPI number
Legal business name
CCM SPECIALTY CARE LLC
Authorized official
DR. CHRISTOPHER CHENG MD (MEDICAL DIRECTOR)
(425) 276-1825
Entity
Organization
Contact information
Practice address
1940 116TH AVE NE STE 200B, BELLEVUE, WA 98004-3097
(425) 276-1825
Mailing address
710 S 348TH ST STE B, FEDERAL WAY, WA 98003-7042
(425) 276-1825
(855) 785-8770
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
208000000X
Pediatrics Physician
—
—
2080C0008X
Child Abuse Pediatrics Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
05/26/2025
Last updated
09/14/2026
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