NPIMap

Organization Active NPI

Virginia Mason Medical Center

Doing business as Virginia Mason Medical Center-Psychiatry

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1124176904
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VIRGINIA MASON MEDICAL CENTER
Doing business as
Virginia Mason Medical Center-Psychiatry
Practice address
1100 9TH Ave
Seattle, WA 98101-2756
Phone
(206) 223-6762
NPI assigned
Jan 8, 2007
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VIRGINIA MASON MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Monica Hilt
Title
President
Phone
(206) 341-1208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1100 9TH Ave
Seattle, WA 98101-2756

Mailing address

PO Box 741515
Los Angeles, CA 90074-1515
Phone (206) 515-5811

Other practice location 1

1100 Olive Way
Suite 531
Seattle, WA 98101-1873
Phone (206) 223-6762

Other names 1

  • VIRGINIA MASON MEDICAL CENTER-PSYCHIATRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MI, NC, NJ, TN, PA, DE, MO, CO, VA, HI, GA12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
O20031107000383 WA Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1,122 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seattle, WA; Bainbridge Island, WA; Kirkland, WA; Issaquah, WA; Federal Way, WA; Edmonds, WA; Bellevue, WA; Lynnwood, WA
O20210831003309 MI Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Manistee, MI
O20210910002428 NC Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Mount, NC
O20210910002894 NJ Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Lee, NJ; Morristown, NJ
O20210917001827 TN Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Johnson City, TN
O20210920001359 PA Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Yardley, PA; Ardmore, PA
O20210922000330 DE Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE
O20210930000531 MO Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Higginsville, MO
O20211029000532 CO Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Golden, CO
O20211124000301 VA Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Haymarket, VA; Rockingham, VA
O20211201001790 HI Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Honolulu, HI; Kailua, HI
O20220414000444 GA Part B Supplier - Clinic/Group Practice 9830002617 Practice locations: Atlanta, GA

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 34

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 34

National Provider Directory

National Provider Directory
Part of
Virginia Mason Fidalgo

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2185 Lemoine Ave
Ste 1C
Fort Lee, NJ 07024
Phone (833) 407-0830

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1124176904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741515",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741515",
            "telephone_number": "206-515-5811",
            "fax_number": "206-341-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-223-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Olive Way",
            "address_2": "Suite 531",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011873",
            "country_code": "US",
            "telephone_number": "206-223-6762",
            "fax_number": "206-625-7414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRGINIA MASON MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA MASON MEDICAL CENTER",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "HILT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-341-1208"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIRGINIA MASON MEDICAL CENTER-PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIRGINIA MASON MEDICAL CENTER-PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 7, 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.

Verify at the official NPI Registry.