Organization Active NPI

Pacific Neuropsychiatric Institute

  • Neurology Physician
  • Seattle, WA
National Provider Identifier
1336209634
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
023511 Issued in WA
Legal business name
PACIFIC NEUROPSYCHIATRIC INSTITUTE
Practice address
6300 9TH Avenue NE
Suite 353
Seattle, WA 98115-8516
Phone
(206) 527-6289
Fax
(206) 892-9689
NPI assigned
Dec 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Dr. Vernon M Neppe, MD, PHDNPI 1497816649
Title
Director
Phone
(206) 527-6289

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084F0202X 023511 WA
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 023511 WA Primary

Addresses

Primary practice location

6300 9TH Avenue NE
Suite 353
Seattle, WA 98115-8516

Mailing address

6300 9TH Avenue NE
Suite 353
Seattle, WA 98115-8516
Phone (206) 527-6289

Other identifiers 1

IdentifierTypeStateIssuer
23511OtherWAWA LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1336209634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 9TH AVENUE NE",
            "address_2": "SUITE 353",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158516",
            "telephone_number": "206-527-6289",
            "fax_number": "206-892-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 9TH AVENUE NE",
            "address_2": "SUITE 353",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158516",
            "telephone_number": "206-527-6289",
            "fax_number": "206-892-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NEUROPSYCHIATRIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "NEPPE",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-527-6289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "WA",
            "license": "023511",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "023511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LICENSE",
            "identifier": "23511",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.