Active NPI
Mountain Peak Mental Health, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Shoreline, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MOUNTAIN PEAK MENTAL HEALTH, PLLC
- Practice address
- 1424 NE 155TH St Ste 205
Shoreline, WA 98155-7104 - Phone
- (425) 620-3072
- NPI assigned
- Nov 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marla Brucken, ARNP
- Title
- Psychiatric Arnp/Managing Member
- Phone
- (425) 620-3072
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1424 NE 155TH St Ste 205
Shoreline, WA 98155-7104
Mailing address
12345 Lake City Way NE # 422
Seattle, WA 98125-5401
Phone (425) 620-3072
National Provider Directory
National Provider DirectoryLocations
10740 Meridian Ave N
Ste 104
Seattle, WA 98133
Phone (206) 365-1435
155 NE 100th St
Ste 220
Seattle, WA 98125
Phone (206) 522-3264
1424 NE 155th St
Ste 205
Shoreline, WA 98155
Phone (206) 361-2379
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Shoreline, WA
- NPI 1841546413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1043855471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12345 LAKE CITY WAY NE # 422",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981255401",
"telephone_number": "425-620-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 NE 155TH ST STE 205",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981557104",
"telephone_number": "425-620-3072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN PEAK MENTAL HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-08",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "BRUCKEN",
"authorized_official_first_name": "MARLA",
"authorized_official_title_or_position": "PSYCHIATRIC ARNP/MANAGING MEMBER",
"authorized_official_telephone_number": "425-620-3072",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.