Organization Active NPI

Peak Performance Psychiatry & Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
National Provider Identifier
1326481375
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PEAK PERFORMANCE PSYCHIATRY & COUNSELING
Practice address
1717 S Rustle St
Suite 212a
Spokane, WA 99224-2065
Phone
(509) 315-4142
Fax
(509) 242-0797
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Dr. Michael J Reznicek, MD
Title
Psychiatrist
Phone
(509) 315-4142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1717 S Rustle St
Suite 212a
Spokane, WA 99224-2065

Mailing address

1717 S Rustle St
Suite 212a
Spokane, WA 99224-2065
Phone (509) 315-4142

National Provider Directory

National Provider Directory

Locations

1717 S Rustle St
Ste 212A
Spokane, WA 99224
Phone (509) 315-4142

1717 S Rustle St
#212A
Spokane, WA 99224
Phone (509) 315-4142

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1326481375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S RUSTLE ST",
            "address_2": "SUITE 212A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992242065",
            "telephone_number": "509-315-4142",
            "fax_number": "509-242-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S RUSTLE ST",
            "address_2": "SUITE 212A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992242065",
            "telephone_number": "509-315-4142",
            "fax_number": "509-242-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE PSYCHIATRY & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "REZNICEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "509-315-4142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.