Organization Active NPI

Mind and Body Psychiatry

  • Psychiatry Physician
  • Tacoma, WA
National Provider Identifier
1184560971
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIND AND BODY PSYCHIATRY
Practice address
748 Market St # 67
Tacoma, WA 98402-3737
Phone
(206) 929-4410
NPI assigned
Apr 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Jessica Amigo, PMHNP-BCNPI 1548134604
Title
Owner
Phone
(786) 932-8830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

748 Market St # 67
Tacoma, WA 98402-3737

Mailing address

748 Market St # 67
Tacoma, WA 98402-3737
Phone (206) 929-4410

Other practice location 1

200 Continental Dr Ste 401
Newark, DE 19713-4337
Phone (206) 929-4410

Other practice location 2

500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
Phone (206) 929-4410

National Provider Directory

National Provider Directory

Locations

748 Market St
#67
Tacoma, WA 98402
Phone (206) 929-4410

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1184560971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MARKET ST # 67",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023737",
            "telephone_number": "206-929-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MARKET ST # 67",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023737",
            "telephone_number": "206-929-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Continental Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197134337",
            "country_code": "US",
            "telephone_number": "206-929-4410",
            "fax_number": "206-746-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Marquette Ave NW Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871025312",
            "country_code": "US",
            "telephone_number": "206-929-4410",
            "fax_number": "206-746-3632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND AND BODY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-25",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "AMIGO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-932-8830",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.