NPIMap

Organization Active NPI

Eastside Psychiatric Services Inc PS

  • Psychiatry Physician
  • Bellevue, WA
National Provider Identifier
1427252873
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00035383 Issued in WA
Legal business name
EASTSIDE PSYCHIATRIC SERVICES INC PS
Practice address
2820 Northup Way Ste 105
Bellevue, WA 98004-1419
Phone
(425) 822-8153
Fax
(425) 822-4010
NPI assigned
Jun 12, 2007
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Sang Ho Suh, M.D.NPI 1447267927
Title
Owner
Phone
(425) 822-8153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00035383 WA Primary

Addresses

Primary practice location

2820 Northup Way Ste 105
Bellevue, WA 98004-1419

Mailing address

2820 Northup Way Ste 105
Bellevue, WA 98004-1419
Phone (425) 822-8153

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1427252873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NORTHUP WAY STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041419",
            "telephone_number": "425-822-8153",
            "fax_number": "425-822-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NORTHUP WAY STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041419",
            "telephone_number": "425-822-8153",
            "fax_number": "425-822-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE PSYCHIATRIC SERVICES INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-822-8153",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00035383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.