PACIFIC NORTHWEST PSYCHOLOGY SERVICES LLC NPI 1295104719

NPI Information

NPI: 1295104719
Provider Name: PACIFIC NORTHWEST PSYCHOLOGY SERVICES, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
3601 FREMONT AVE N
SUITE 412
SEATTLE, WA
ZIP 98103
Phone: (206) 999-4587
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PACIFIC NORTHWEST PSYCHOLOGY SERVICES, LLC is an adult mental health clinic center in Seattle, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PACIFIC NORTHWEST PSYCHOLOGY SERVICES, LLC NPI is 1295104719. The provider is registered as an organization entity type.

The provider's business location address is:

3601 FREMONT AVE N
SUITE 412
SEATTLE, WA
ZIP 98103-709
Phone: (206) 999-4587

The provider's authorized official is Elizabeth Kunchandy .
The authorized official title is Psychologist/owner and has the following contact phone number (206) 999-4587.

The enumeration date for this NPI number is 9/15/2015 and was last updated on 9/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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