Market Street Psychotherapy, P S

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD60484101 Issued in WA

Legal business name

MARKET STREET PSYCHOTHERAPY, P S

Practice address

2208 NW Market St Ste 513
Seattle, WA 98107-4098

Phone

(206) 403-1374

Fax

(206) 844-2337

NPI assigned

Jun 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Jeremy Markovitz, MDNPI 1134485147

Title

Owner/Operator

Phone

(206) 403-1374

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Jacob Markovitz, M.D.

  • Psychiatry Physician
  • Seattle, WA
  • NPI 1134485147
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1215420963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 NW MARKET ST STE 513",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074098",
            "telephone_number": "206-403-1374",
            "fax_number": "206-844-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 NW MARKET ST STE 513",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074098",
            "telephone_number": "206-403-1374",
            "fax_number": "206-844-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET STREET PSYCHOTHERAPY, P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MARKOVITZ",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "206-403-1374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60484101",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Markendorf
• Diana Marker
• William Andrew Markert
• Market Place Chiropractic, PS
• Market Street Pharmacy
• Adrian N Markewych, MD
• Matthew Arvid Cullenberg Markey-Crimp, MD
• Elizabeth H Markey, LMHC
• Kate Ann Markey, MBBS, PHD
• Leon Markey

• Psychiatry Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.