Chris Brubaker, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

60301735 Issued in WA

Legal business name

CHRIS BRUBAKER, LLC

Practice address

2825 Eastlake Ave E
Suite 120
Seattle, WA 98102-3062

Phone

(206) 486-4993

Fax

(206) 535-6838

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Christopher J Brubaker, M.D., PH.D.NPI 1942511936

Title

Owner

Phone

(206) 486-4993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 3

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

• Christopher John Brubaker, M.D., PH.D.

  • Psychiatry Physician
  • Seattle, WA
  • NPI 1942511936
  Medicare reassignment Authorized official
• Mary Murphy, LICSW

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1548313935

  Single Specialty

  NPD
• Aleta Annamarie Mattaino, M.A., L.M.H.C., N.C.

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1225264195
  NPD (past)

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1124482435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 EASTLAKE AVE E",
            "address_2": "SUITE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023062",
            "telephone_number": "206-486-4993",
            "fax_number": "206-535-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 EASTLAKE AVE E",
            "address_2": "SUITE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023062",
            "telephone_number": "206-486-4993",
            "fax_number": "206-535-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS BRUBAKER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "BRUBAKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-486-4993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "60301735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy W Choy
• Elizabeth Choy, M.D.
• Heidi Choy, DVM
• Jeremy Choy, M.D.
• Xenia Alcedo Choy
• Chris Johnson PT PLLC
• Chris Perry Therapy
• Eric Wayne Chrisinger, M.D.
• Sara P Chrisman, MD
• Dimitri A Christakis

• Mental Health Clinic/Center (Including Community Mental Health Center) in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.