Pacific Northwest Physician Psychiatric Care PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PACIFIC NORTHWEST PHYSICIAN PSYCHIATRIC CARE PLLC

Doing business as

Pnwppc
Physician Psychiatry

Practice address

2704 E Golden Rd
Spokane, WA 99208-8502

Phone

(573) 721-6002

NPI assigned

Aug 30, 2024

Last updated

Aug 30, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Katie Kist, DONPI 1750763884

Title

Owner

Phone

(573) 721-6002

Specialties & licenses 1

Addresses

Other names 2

• PNWPPC Doing business as
• Physician Psychiatry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Kist, D.O.

  • Psychiatry Physician
  • Moses Lake, WA
  • NPI 1750763884
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1023842051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 E GOLDEN RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088502",
            "telephone_number": "573-721-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 E GOLDEN RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088502",
            "telephone_number": "573-721-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST PHYSICIAN PSYCHIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "KIST",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-721-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PNWPPC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physician Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Medical, Inc.
• Pacific Northwest Behavior, LLC
• Pacific Northwest Counseling and Wellness PLLC
• Pacific Northwest Hearing LLC
• Pacific Northwest Kidney and Hypertension Institute PLLC
• Jordan Brett Pack
• Katie Jill Pack
• Pacwest Healthcare, PLLC
• Pacwest Palliative Care, PLLC
• Pacwest Podiatry, PLLC

• Medical Specialty Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.