Active NPI
Patric J Darby, MD
- Child & Adolescent Psychiatry Physician
- Tukwila, WA
National Provider Identifier
1295758290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- WA36441
- Practice address
- 13030 Military Rd S
Suite 202
Tukwila, WA 98168-3085 - Phone
- (206) 243-5229
- Fax
- (206) 439-7216
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | WA36441 | WA | Primary |
Addresses
Primary practice location
13030 Military Rd S
Suite 202
Tukwila, WA 98168-3085
Mailing address
13030 Military Rd S
Suite 202
Tukwila, WA 98168-3085
Phone (206) 243-5229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 19, 2016 through Jan 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WA36441 | WA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295758290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13030 MILITARY RD S",
"address_2": "SUITE 202",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981683085",
"telephone_number": "206-243-5229",
"fax_number": "206-439-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13030 MILITARY RD S",
"address_2": "SUITE 202",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981683085",
"telephone_number": "206-243-5229",
"fax_number": "206-439-7216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARBY",
"first_name": "PATRIC",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "WA36441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.