Organization Active NPI

Brinkopf & Yant Psychiatric Services, PLLC

Doing business as Restore Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1396328365
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRINKOPF & YANT PSYCHIATRIC SERVICES, PLLC
Doing business as
Restore Mental Health
Practice address
510 E Main Ste D
Puyallup, WA 98372-5612
Phone
(253) 466-3122
Fax
(253) 256-7911
NPI assigned
Apr 28, 2021
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Dr. Katrina Brinkopf, DNP, ARNP, PMHNP-BCNPI 1538660881
Title
Owner
Phone
(253) 466-3122

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

510 E Main Ste D
Puyallup, WA 98372-5612

Mailing address

510 E Main Ste D
Puyallup, WA 98372-5612
Phone (253) 466-3122

Other identifiers 6

IdentifierTypeStateIssuer
RN60622681OtherWASTATE RN LICENSE
RN60101504OtherWASTATE RN LICENSE
LP60921975OtherWASTATE LPN LICENSE
AP60989620OtherWASTATE ARNP LICENSE
PMHNP-BCOtherAMERICAN NURSES CREDENTIALING CENTER (ANCC)
AP60989967OtherWASTATE ARNP LICENSE

Other names 1

  • Restore Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

510 E Main
Ste D
Puyallup, WA 98372
Phone (253) 466-3122

Practitioners & affiliated clinicians

Practitioners 2

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": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1396328365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MAIN STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983725612",
            "telephone_number": "253-466-3122",
            "fax_number": "253-256-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E MAIN STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983725612",
            "telephone_number": "253-466-3122",
            "fax_number": "253-256-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRINKOPF & YANT PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "BRINKOPF",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-466-3122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, ARNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE RN LICENSE",
            "identifier": "RN60622681",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE RN LICENSE",
            "identifier": "RN60101504",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LPN LICENSE",
            "identifier": "LP60921975",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ARNP LICENSE",
            "identifier": "AP60989620",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER (ANCC)",
            "identifier": "PMHNP-BC",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ARNP LICENSE",
            "identifier": "AP60989967",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restore Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.