Provider Type Icon

BHC FAIRFAX HOSPITAL INC. NPI 1104959097


NPI Information

NPI: 1104959097
Provider Name: BHC FAIRFAX HOSPITAL INC.

Doing Business As: FAIRFAX PHYSICIAN GROUP

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034
Phone: (425) 821-2000
Get Directions

BHC FAIRFAX HOSPITAL INC. is a psychiatry psychiatry neurology in Kirkland, WA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. BHC FAIRFAX HOSPITAL INC. NPI is 1104959097. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fairfax Physician Group.

The provider's business location address is:

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034-831
Phone: (425) 821-2000

The provider's authorized official is Peggy Trachte .
The authorized official title is Business Office Director and has the following contact phone number (425) 284-1708.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 12/12/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17159908MEDICAIDWASHINGTON
27104326MEDICAIDWASHINGTON
3AB20892MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.