Puget Mental Care LLC

Primary specialty

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

License

AP60411730 Issued in WA

Legal business name

PUGET MENTAL CARE LLC

Practice address

4009 Bridgeport Way W # 1a
University Place, WA 98466-4326

Phone

(253) 503-6761

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Kopec, DNPNPI 1053746867

Title

Psychiatric Nurse Practitioner

Phone

(253) 304-8039

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Kopec, DNP, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tacoma, WA
  • NPI 1053746867
  Authorized official Same address or phone

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1215334982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 BRIDGEPORT WAY W # 1A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 BRIDGEPORT WAY W # 1A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664326",
            "telephone_number": "253-503-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET MENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "KOPEC",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "253-304-8039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "AP60411730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Ann Price
• Suzie Elaine Price, LMP
• Michael James Pritchett
• Renee Charise Probst, LMP
• Professional Hearing and Speech Services Inc
• Paul Purdue, PTA
• Marjorie J Quabner
• Quenga, Hanson and Purdue, P.S., Inc. (Physical Therapy Associates)
• Shawn Timothy Quenga, D.P.T.
• Barbara Ann Radonich, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in University Place, WA
• Providers in University Place, 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 Nov 24, 2014; 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.