Port Townsend Psychiatric Medicine

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PORT TOWNSEND PSYCHIATRIC MEDICINE

Practice address

210 Polk St Ste 4a
Port Townsend, WA 98368-6739

Phone

(360) 385-9818

Fax

(360) 385-1496

NPI assigned

Apr 25, 2019

Last updated

Apr 29, 2021By 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

Dr. Kari Case Heistand, M.D.NPI 1043301930

Title

Owner/Psychiatrist

Phone

(360) 385-9818

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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.

• Kari Case Heistand, M.D.

  • Psychiatry Physician
  • Port Townsend, WA
  • NPI 1043301930
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1467016444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 WATER ST STE 106",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686728",
            "telephone_number": "360-385-9818",
            "fax_number": "360-385-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 POLK ST STE 4A",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686739",
            "telephone_number": "360-385-9818",
            "fax_number": "360-385-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT TOWNSEND PSYCHIATRIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "HEISTAND",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "CASE",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIST",
        "authorized_official_telephone_number": "360-385-9818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port Townsend Chiropractic Center, PS
• Port Townsend Foot and Ankle Clinic PS
• Port Townsend Orthopaedics & Sports Medicine, PLLC
• Port Townsend Pharmacy Inc. (Don's Pharmacy)
• Port Townsend Pharmacy Inc.
• Port Townsend School District
• Port Townsend Surgical Assoc (Madrona Surgical Center)
• Port Townsend Surgical Associates, P.C.
• Port Townsend Womens Clinic PLLC
• Linda Joanne Potter

• Mental Health Clinic/Center (Including Community Mental Health Center) in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.