University Mental Health NW, PLLC

Primary specialty

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

Legal business name

UNIVERSITY MENTAL HEALTH NW, PLLC

Practice address

1455 NW Leary Way Ste 400
Seattle, WA 98107-5138

Phone

(206) 880-0611

NPI assigned

Apr 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Tan, ND, MSN, PMHNP-BCNPI 1306992698

Title

Owner

Phone

(415) 670-0964

Specialties & licenses 2

Addresses

Other names 1

• Alexander Tan, ND Other name

Practitioners 1

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

• Alexander Tan, N.D.

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1306992698
  NPD Authorized official

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1184367286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075138",
            "telephone_number": "206-880-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075138",
            "telephone_number": "206-880-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MENTAL HEALTH NW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-16",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-02",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-670-0964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexander Tan, ND",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Alexander Tan, ND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• University of Washington
• University of Washington
• University of Washington
• University of Washington

• All providers in Seattle, WA
• 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 Feb 3, 2025; 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.