Organization Active NPI

Crescent Psychiatry

  • Adult Mental Health Clinic/Center
  • Gig Harbor, WA
National Provider Identifier
1285869958
Registry record updated May 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MD30816 Issued in WA
Legal business name
CRESCENT PSYCHIATRY
Practice address
7191 Wagner Way NW
Suite # 301
Gig Harbor, WA 98335-6909
Phone
(253) 514-8076
Fax
(253) 514-8078
NPI assigned
May 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2009

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

Authorized official

Name
Dr. Vanraj Varu, M.D.
Title
President
Phone
(253) 514-8076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MD30816 WA Primary

Addresses

Primary practice location

7191 Wagner Way NW
Suite # 301
Gig Harbor, WA 98335-6909

Mailing address

7191 Wagner Way NW
Suite # 301
Gig Harbor, WA 98335-6909
Phone (253) 514-8076

National Provider Directory

National Provider Directory

Locations

7191 Wagner Way
Ste 301
Gig Harbor, WA 98335
Phone (253) 514-8076

NPI Registry JSON

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

{
    "created_epoch": "1243036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243036800000",
    "number": "1285869958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 WAGNER WAY NW",
            "address_2": "SUITE # 301",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356909",
            "telephone_number": "253-514-8076",
            "fax_number": "253-514-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 WAGNER WAY NW",
            "address_2": "SUITE # 301",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356909",
            "telephone_number": "253-514-8076",
            "fax_number": "253-514-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-23",
        "last_updated": "2009-05-23",
        "status": "A",
        "authorized_official_last_name": "VARU",
        "authorized_official_first_name": "VANRAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-514-8076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "MD30816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2009; 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.