Jeffrey Donovan Hart MD PS Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00022597 Issued in WA

Legal business name

JEFFREY DONOVAN HART MD PS INC

Practice address

33515 10TH PL S
#16
Federal Way, WA 98003-7300

Phone

(253) 838-2326

Fax

(253) 838-5781

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Donovan Hart, MD

Title

Medical Director

Phone

(253) 838-2626

Specialties & licenses 1

Addresses

Other names 1

• Clinic for Counseling and Psychotherapy Doing business as

Locations

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1205088077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33515 10TH PL S",
            "address_2": "#16",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037300",
            "telephone_number": "253-838-2326",
            "fax_number": "253-838-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33515 10TH PL S",
            "address_2": "#16",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037300",
            "telephone_number": "253-838-2326",
            "fax_number": "253-838-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY DONOVAN HART MD PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DONOVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "253-838-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00022597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic for Counseling and Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacklyn Marie James, L.M.P.
• Tana N James, PT
• Cathie Fraser Jamieson, RPH
• Kristi Lynn Jantzi
• Katherine Dayanna Jaramillo-Cilio, PHARMD
• Stefanie Elizabeth Jemison
• Celena Jenne, RN, LMP
• Jennifer Croke Psychotherapy
• Brittany Ann Jensen
• John Martin Jensen III, LMT

• Specialist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.