DR. JACK MARTIN REITER


Address: 726 Braodway, Suite 303, Seattle, WA 98122-4321
Phone: 2063281366

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
10990 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA L & I 190650 01
WA DSHS 1716406 01

Office Location

Street Address 726 BRAODWAY
SUITE 303
City SEATTLE
State WA
Zip Code 98122-4321

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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SEATTLE
Zip Code 98122

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Dataset Information

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.

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