Mary Shickich, MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MARY SHICKICH, MD PLLC

Practice address

210 W Galer St
Seattle, WA 98119-3332

Phone

(206) 586-8390

NPI assigned

Sep 20, 2021

Organization subpart

No

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

Authorized official

Name

Mary Shickich, MDNPI 1669835807

Title

Manager

Phone

(206) 586-8390

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kathleen Shickich, MD

  • Psychiatry Physician
  • Seattle, WA
  • NPI 1669835807
  NPD Authorized official

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1053081174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W GALER ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W GALER ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193332",
            "telephone_number": "206-586-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY SHICKICH, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "SHICKICH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-586-8390",
        "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": []
}

• Larry Marx
• Tiffany Marx
• Mary Catherines & Daughters (Mary Catherine's)
• Mary Hatch-Maillette, PH.D., L.L.C.
• Mary Murphy, Licsw, PLLC
• Edmond Marzbani, MD
• Yolonda Marzest, LICSWA
• Tessa Marzulla
• Robert Arthur Marzullo
• Jeffrey Aden Masagatani, LMP

• Psychiatry Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.