Organization Active NPI

Maple Leaf Mental Health PLLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Seattle, WA
National Provider Identifier
1407689037
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
MAPLE LEAF MENTAL HEALTH PLLC
Practice address
9706 4TH Ave NE Ste 320
Seattle, WA 98115-2199
Phone
(206) 814-1455
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Conor Byrne
Title
Ceo
Phone
(443) 745-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X NU Primary

Addresses

Primary practice location

9706 4TH Ave NE Ste 320
Seattle, WA 98115-2199

Mailing address

PO Box 75018
Seattle, WA 98175-0018

National Provider Directory

National Provider Directory

Locations

9706 4th Ave NE
Ste 320
Seattle, WA 98115
Phone (206) 360-1002

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1407689037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75018",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981750018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9706 4TH AVE NE STE 320",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152199",
            "telephone_number": "206-814-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "CONOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-745-9333"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 20, 2024; 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.