Organization Active NPI

Citadel Psychiatry, PLLC

  • Adult Mental Health Clinic/Center
  • Gig Harbor, WA
National Provider Identifier
1295410322
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CITADEL PSYCHIATRY, PLLC
Practice address
2615 Jahn Ave NW Ste E4
Gig Harbor, WA 98335-7997
Phone
(360) 334-7197
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Jamal Williams, ARNPNPI 1811575194
Title
Ceo, Founder
Phone
(360) 334-7197

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2615 Jahn Ave NW Ste E4
Gig Harbor, WA 98335-7997

Mailing address

5606 18TH St NW
Gig Harbor, WA 98335-7527
Phone (360) 334-7197

Other names 1

  • Citadel Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250602000336 WA Part B Supplier - Clinic/Group Practice 8729597844 Receives reassigned benefits from 2 practitioners
Practice locations: Gig Harbor, WA

National Provider Directory

National Provider Directory

Locations

2615 Jahn Ave NW
Ste E4
Gig Harbor, WA 98335
Phone (253) 314-6430

Practitioners & affiliated clinicians

Practitioners 2

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": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1295410322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 18TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357527",
            "telephone_number": "360-334-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 JAHN AVE NW STE E4",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357997",
            "telephone_number": "360-334-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "CEO, FOUNDER",
        "authorized_official_telephone_number": "360-334-7197",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citadel Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citadel Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 21, 2025; 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.