GEORGE PETZINGER M.D. NPI 1003905522

NPI Information

NPI: 1003905522
Provider Name: GEORGE PETZINGER, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Specialization: Child & Adolescent Psychiatry
Entity Type: Individual
PECOS Registration: Yes
Address: 918 E MEAD AVE
YAKIMA, WA
ZIP 98903
Phone: (509) 453-1344

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NPI Details

George Petzinger, M.D. is a child and adolescent psychiatry psychiatry neurology in Yakima, WA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. George Petzinger, M.D. NPI is 1003905522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

918 E MEAD AVE
YAKIMA, WA
ZIP 98903-720
Phone: (509) 453-1344
Fax: (509) 453-2209

The NPI 1003905522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 11/28/2011.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD00038547	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8254252	OTHER	WASHINGTON	CHPW
2	8254252	MEDICAID	WASHINGTON
3	911019392	OTHER		COMMERCIAL
4	GAB28430	MEDICARE ID-TYPE UNSPECIFIED
5	139616	OTHER	WASHINGTON	L & I
6	G82249	MEDICARE UPIN

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: 11/21/2025

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