BRIAN J PENDERGAST (NPI# 1851620405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851620405 |
| Entity Type | Individual |
| Full Name | BRIAN J PENDERGAST |
| Credential | M.A. |
| Practice Address |
1200 Westlake Ave N #901 Seattle WA 98109-3543 |
| Practice Telephone | 2537979315 |
| Mailing Telephone | 2537979315 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2016-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH 60310936 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922141035 | Brian Michael Pendergast | Pharmacist | 2 Hemingway Dr, Riverside, RI 02915 | 2007-02-15 |
| Street Address |
1200 WESTLAKE AVE N #901 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958058 | Nicole Marie Sartore Babuin | Counselor | 1200 Westlake Ave N, Seattle, WA 98109-3543 | 2019-12-09 |
| 1932641842 | Amanda Renee Mathis | Counselor | 1200 Westlake Ave N, Suite 810, Seattle, WA 98109-3543 | 2016-11-08 |
| 1164972600 | Sensum LLC | Community/Behavioral Health | 1200 Westlake Ave N, Suite 901, Seattle, WA 98109-3543 | 2016-10-07 |
| 1750751756 | Jack Ringel | Social Worker | 1200 Westlake Ave N, Suite 901, Seattle, WA 98109-3543 | 2015-10-02 |
| 1902272180 | Mandahla Medical | Chiropractor | 1200 Westlake Ave N, Ste 604, Seattle, WA 98109-3543 | 2015-08-11 |
| 1740678424 | Shea Marie Fitzgerald | Counselor | 1200 Westlake Ave N, Suite 508, Seattle, WA 98109-3543 | 2015-01-02 |
| 1134560907 | Eve M Ruff | Counselor | 1200 Westlake Ave N, Suite 508, Seattle, WA 98109-3543 | 2013-07-09 |
| 1437496684 | Edgewood Seattle Addiction Services | Community/Behavioral Health | 1200 Westlake Ave N, Suite 508, Seattle, WA 98109-3543 | 2013-01-08 |
| 1750650685 | Laura Mathews | Marriage & Family Therapist | 1200 Westlake Ave N, Suite 901, Seattle, WA 98109-3543 | 2011-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407745 | Julie Mcgowan | Counselor | 9222 12th Ave Sw, Seattle, WA 98106-2908 | 2020-11-06 |
| 1043811292 | Satya Wellness Collective, LLC | Counselor | 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 | 2020-11-04 |
| 1366043960 | Nidhi Amy Rastogi | Counselor | 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 | 2020-11-02 |
| 1124628797 | Krista P Marceron | Counselor | 1421 34th Ave Ste 207, Seattle, WA 98122-3634 | 2020-10-31 |
| 1326648064 | Taylor Ferry | Counselor | 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 | 2020-10-30 |
| 1710587969 | Brenton Brooks Page Jr. | Counselor | 819 N 49th St Ste 303, Seattle, WA 98103-6577 | 2020-10-27 |
| 1215536719 | Jessica Aarsvold | Counselor | 1 Ward St Unit 5, Seattle, WA 98109-3627 | 2020-10-26 |
| 1972102911 | Philip H Benjamin | Counselor | Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 | 2020-10-21 |
| 1588263834 | Laura Gardener | Counselor | 216 25th Ave, Seattle, WA 98122-6104 | 2020-10-19 |
| 1265031512 | Mykel Ziolo | Counselor | 11700 Evanston Ave N, Seattle, WA 98133-8225 | 2020-10-19 |
| Find all providers in SEATTLE | ||||
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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.