Seattle Psychiatric Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SEATTLE PSYCHIATRIC CLINIC LLC

Practice address

12288 NE 12TH LN Apt 302
Bellevue, WA 98005-2587

Phone

(360) 209-2069

Fax

(360) 326-1110

NPI assigned

Feb 23, 2024

Last updated

Jun 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yogi Patel, DNP-PMHNPNPI 1487431615

Title

Doctorate of Nurse Practitioner

Phone

(360) 209-2069

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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.

• Yogi Patel, DNP-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bremerton, WA
  • NPI 1487431615
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1457117855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12288 NE 12TH LN APT 302",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12288 NE 12TH LN APT 302",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052587",
            "telephone_number": "360-209-2069",
            "fax_number": "360-326-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE PSYCHIATRIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "YOGI",
        "authorized_official_title_or_position": "DOCTORATE OF NURSE PRACTITIONER",
        "authorized_official_telephone_number": "360-209-2069",
        "authorized_official_credential": "DNP-PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.