Active NPI
Public Hospital District #1 of King County
- Psychiatry Physician
- Renton, WA
National Provider Identifier
1073554671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
- Practice address
- 4445 Talbot Rd S
Renton, WA 98055-6219 - Phone
- (425) 656-4055
- Fax
- (425) 656-5425
- NPI assigned
- Jun 8, 2006
- 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
- Michael Bernstein
- Title
- Cfo
- Phone
- (425) 656-5536
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
4445 Talbot Rd S
Renton, WA 98055-6219
Mailing address
3600 Lind Ave SW
Suite 100
Renton, WA 98057-4934
Phone (425) 656-5412
Other names 1
- VMC Psychiatry and Counseling Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200355200000",
"number": "1073554671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "SUITE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980574934",
"telephone_number": "425-656-5412",
"fax_number": "425-656-5423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980556219",
"telephone_number": "425-656-4055",
"fax_number": "425-656-5425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2008-01-15",
"status": "A",
"authorized_official_last_name": "BERNSTEIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "425-656-5536"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VMC Psychiatry and Counseling Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Renton, WA
- Proliance Surgery Center at Valley, LLC
- Robert F Prongay, MD
- Provascular Surgery Associates PLLC
- Providence Health & Services - Washington
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.