PACIFIC PSYCHIATRIC CONSULTING PLLC NPI 1033374749

NPI Information

NPI: 1033374749
Provider Name: PACIFIC PSYCHIATRIC CONSULTING PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
24001 56TH AVE W
SUITE D404
MOUNTLAKE TERRACE, WA
ZIP 98043
Phone: (425) 749-5008
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PACIFIC PSYCHIATRIC CONSULTING PLLC is an adult mental health clinic center in Mountlake Terrace, 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 PSYCHIATRIC CONSULTING PLLC NPI is 1033374749. The provider is registered as an organization entity type.

The provider's business location address is:

24001 56TH AVE W
SUITE D404
MOUNTLAKE TERRACE, WA
ZIP 98043-558
Phone: (425) 749-5008
Fax: (866) 305-0497

The provider's authorized official is Supriya Kang .
The authorized official title is Owner / Sole Proprietor and has the following contact phone number (425) 749-5008.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/22/2008.

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	261QM0850X	Clinic/Center	Adult Mental Health	MD00047610	WASHINGTON	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: 5/5/2024

NPI Synchronization or Removal

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