BALLARD PSYCHIATRIC ASSOCIATES PLLC NPI 1619306065

NPI Information

NPI: 1619306065
Provider Name: BALLARD PSYCHIATRIC ASSOCIATES, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1405 NW 85TH ST STE 4
SEATTLE, WA
ZIP 98117
Phone: (206) 452-6009
Get Directions

BALLARD PSYCHIATRIC ASSOCIATES, PLLC is a psychiatric/mental health nurse practitioner in Seattle, WA. BALLARD PSYCHIATRIC ASSOCIATES, PLLC NPI is 1619306065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1405 NW 85TH ST STE 4
SEATTLE, WA
ZIP 98117-237
Phone: (206) 452-6009
Fax: (206) 707-8299

The provider's authorized official is Robert Brian Noonan .
The authorized official title is Arnp and has the following contact phone number (206) 452-6009.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 11/6/2013.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP3007939	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	1054750	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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