WELLPSYCHE SEATTLE PC (NPI# 1235792326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235792326 |
| Entity Type | Organization |
| Organization Name | WELLPSYCHE SEATTLE PC |
| Practice Address |
801 2nd Ave Ste 800 Seattle WA 98104-1573 |
| Mailing Address |
1055 Wilshire Blvd Ste 1705 Los Angeles CA 90017-5600 |
| Practice Telephone | 3108710670 |
| Mailing Telephone | 3108710670 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | DR. ADEL MOSTAFAVI (CEO) |
| Authorized Official Telephone | 9494002488 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WELLPSYCHE SEATTLE PC | 1601 Pacific Coast Hwy Ste 255, Hermosa Beach, CA 90254-3284 |
| Street Address |
801 2ND AVE STE 800 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043870413 | Healthy Living At Home - Seattle, LLC | Home Health | 801 2nd Ave Ste 800, Seattle, WA 98104-1573 | 2019-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437288768 | Diane C Stein | Psychiatry & Neurology | 4026 Ne 55th St Ste E200, Seattle, WA 98105-2263 | 2007-03-04 |
| 1902996325 | Jack Martin Reiter | Psychiatry & Neurology | 726 Braodway, Suite 303, Seattle, WA 98122-4321 | 2006-10-14 |
| 1962591479 | Catherine Jackson Kuniyoshi | Psychiatry & Neurology | 1501 Western Ave Ste 110, Seattle, WA 98101-3500 | 2006-10-12 |
| 1447343082 | Tina Lee | Psychiatry & Neurology | 1200 5th Ave, Suite 800, Seattle, WA 98101-3132 | 2006-10-02 |
| 1215952288 | Soo-jeong Kim | Psychiatry & Neurology | 4909 25th Ave Ne, Seattle Childrens Autism Center, Seattle, WA 98105-4107 | 2006-07-12 |
| 1437125044 | Thomas Frederick Semper | Psychiatry & Neurology | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2006-02-23 |
| 1679951107 | Nicholas Meinhardt | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2015-05-17 |
| 1649615360 | Association of University Physicians | Psychiatry & Neurology | 325 9th Ave, Chrmc, Seattle, WA 98104-2420 | 2013-05-08 |
| 1639463367 | Douglas Andrew Russell | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2011-05-28 |
| 1932499670 | Nina De Lacy | Psychiatry & Neurology | 1959 Ne Pacific St, Box 356560, Seattle, WA 98195-6560 | 2011-04-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.