King County Telepsych Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KING COUNTY TELEPSYCH SERVICES

Practice address

19529 134TH Ave SE
Renton, WA 98058-7785

Phone

(425) 542-2680

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Redempta R MwikyaNPI 1265047245

Title

Owner

Phone

(425) 542-2680

Specialties & licenses 1

Addresses

Other names 1

• King County Psychiatric Services Doing business as

Practitioners 1

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

• Redempta Rhoda Mwikya, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellevue, WA
  • NPI 1265047245
  NPD Authorized official

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1134907199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19529 134TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980587785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19529 134TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980587785",
            "telephone_number": "425-542-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING COUNTY TELEPSYCH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "MWIKYA",
        "authorized_official_first_name": "REDEMPTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-542-2680"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King County Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thu Ha Kincaid, PTA
• Arica Kincheloe
• King and Mockovak Eye Center, Inc., P.S.
• King County Sexual Assault Resource Center
• King County Sexual Assault Resource Center
• King Lasik Inc PC
• King Lasik Inc PS
• Hannah M King, MSW
• Joseph Walter King, MD
• Kirk E King, DDS

• Psychiatric/Mental Health Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.