Veena Prabhakar, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OP60174488 Issued in WA

Practice address

3639 Martin Luther King Jr Way S
Seattle, WA 98144-6847

Phone

(206) 695-7600

Fax

(206) 695-7606

NPI assigned

Oct 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Asian Counseling and Referral Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1962507442
  Medicare reassignment NPD
• Front Street Clinic Inc

  • Psychologist
  • Poulsbo, WA
  • NPI 1457532913
  NPD (past)
• Wandee J. Pryor, Psy.D., LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Poulsbo, WA
  • NPI 1376043232
  NPD (past)
• Ascension St Francis Hospital, Inc

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1225087190
  NPD (past)
• Ascension St Francis Hospital, Inc

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1710775408
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1407045669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE",
            "address_2": "STE 215-E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042993",
            "telephone_number": "425-646-7279",
            "fax_number": "425-696-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 MARTIN LUTHER KING JR WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981446847",
            "telephone_number": "206-695-7600",
            "fax_number": "206-695-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 112th Ave NE",
            "address_2": "Ste 215-E",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980042993",
            "country_code": "US",
            "telephone_number": "425-646-7279",
            "fax_number": "425-696-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRABHAKAR",
        "first_name": "VEENA",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "OP60174488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Orian Poyorena, MD
• Madelin Julissa Pozadas Aguirre, PHARMD
• Tamara C. Pozos
• Ppgnw - Id Pharmacy
• PPR Pros
• Abishek Prabhakaran
• Practicing Abundance LLC
• Camilla Garcia Pracz, B.S.
• Kumuda Kalyani Pradhan, MD
• Sarah Ward Prager, MD, MAS

• Psychiatry Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.