DR. JACK MARTIN REITER (NPI# 1902996325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902996325 |
Entity Type | Individual |
Full Name | DR. JACK MARTIN REITER |
Credential | MD |
Practice Address |
726 Braodway Suite 303 Seattle WA 98122-4321 |
Practice Telephone | 2063281366 |
Practice Fax Number | 2063288150 |
Mailing Telephone | 2063281366 |
Mailing Fax Number | 2063288150 |
Enumeration Date | 2006-10-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
10990 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | L & I | 190650 | 01 |
WA | DSHS | 1716406 | 01 |
Street Address |
726 BRAODWAY SUITE 303 |
City | SEATTLE |
State | WA |
Zip Code | 98122-4321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
Find all providers in zip 98122 |
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 |
---|---|---|---|---|
1235792326 | Wellpsyche Seattle PC | Psychiatry & Neurology | 801 2nd Ave Ste 800, Seattle, WA 98104-1573 | 2019-04-15 |
1437288768 | Diane C Stein | Psychiatry & Neurology | 4026 Ne 55th St Ste E200, Seattle, WA 98105-2263 | 2007-03-04 |
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 |
Find all providers in SEATTLE |
Please comment or provide details below to improve the information on DR. JACK MARTIN REITER.
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.