WINLOCK PEDIATRICS LLC NPI 1033830161

NPI Information

  • NPI: 1033830161
  • Provider Name: WINLOCK PEDIATRICS LLC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 19540 FRONT ST NE
    POULSBO, WA
    ZIP 98370
  • Phone: (564) 218-6135

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NPI Details

WINLOCK PEDIATRICS LLC is an adolescent and children mental health clinic center in Poulsbo, 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. WINLOCK PEDIATRICS LLC NPI is 1033830161. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19540 FRONT ST NE
POULSBO, WA
ZIP 98370-316
Phone: (564) 218-6135

The provider's authorized official is Violeta M Gomez .
The authorized official title is Owner and has the following contact phone number (470) 733-0321.

The enumeration date for this NPI number is 9/7/2022 and was last updated on 7/2/2024.

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
1208000000XPediatricsNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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
160912725OTHERWASHINGTONSTATE LICENSE

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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