Active NPI
Roots & Wings Mental Health Care LLC
- Psychiatry Physician
- Bothell, WA
National Provider Identifier
1043914815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ROOTS & WINGS MENTAL HEALTH CARE LLC
- Practice address
- 2510 192ND PL SE
Bothell, WA 98012-6974 - Phone
- (425) 273-7064
- NPI assigned
- Mar 28, 2023
- 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
- Dr. Arvinder Kaul, MD
- Title
- Psychiatrist
- Phone
- (425) 273-7064
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
2510 192ND PL SE
Bothell, WA 98012-6974
Mailing address
2510 192ND PL SE
Bothell, WA 98012-6974
Phone (425) 273-7064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Kirkland, WA
- NPI 1396792578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1043914815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 192ND PL SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980126974",
"telephone_number": "425-273-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 192ND PL SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980126974",
"telephone_number": "425-273-7064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTS & WINGS MENTAL HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-28",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "KAUL",
"authorized_official_first_name": "ARVINDER",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "425-273-7064",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.