Individual provider Active NPI

Neeru Verma Bakshi, MD

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1114018991
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00048609 Issued in WA
Practice address
901 Boren Ave Ste 8021800
Seattle, WA 98104-3595
Phone
(425) 326-5300
NPI assigned
Sep 27, 2006
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C162853 CA
Psychiatry Physician 2084P0800X MD00048609 WA Primary

Addresses

Primary practice location

901 Boren Ave Ste 8021800
Seattle, WA 98104-3595

Mailing address

901 Boren Ave Ste 8021800
Seattle, WA 98104-3595
Phone (425) 326-5300

Other practice location 1

1231 116th Ave NE Fl 3
Bellevue, WA 98004-3804
Phone (425) 451-1134

Other practice location 2

3610 American River Dr Ste 140
Sacramento, CA 95864-5919
Phone (916) 426-1646

Other identifiers 2

IdentifierTypeStateIssuer
C162853OtherCASTATE LICENSE
MD00048609OtherWASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C162853CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moore Center Dba Eating Recovery Center Dba Insight Behavioral Hea PastSince Feb 23, 2025 Accepting new patients
Overlake Medical Center & Clinics Past Accepting new patients
The Moore Center Dba Eating Recovery Center Dba Insight Behavioral Hea Psychiatry PastSince Jul 17, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1114018991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 8021800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043595",
            "telephone_number": "425-326-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 8021800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043595",
            "telephone_number": "425-326-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 116th Ave NE Fl 3",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043804",
            "country_code": "US",
            "telephone_number": "425-451-1134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3610 American River Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958645919",
            "country_code": "US",
            "telephone_number": "916-426-1646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKSHI",
        "first_name": "NEERU",
        "middle_name": "VERMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C162853",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00048609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C162853",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD00048609",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.