Organization Active NPI

Live Well Psychiatry

  • Psychiatric Hospital Unit
  • Puyallup, WA
National Provider Identifier
1477237618
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
LIVE WELL PSYCHIATRY
Practice address
3005 13TH Avenue CT NW
Puyallup, WA 98371-3896
Phone
(125) 324-5866
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Mrs. Stephanie Lamigo Brooks, ARNPNPI 1811410657
Title
Owner
Phone
(253) 245-8668

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
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

3005 13TH Avenue CT NW
Puyallup, WA 98371-3896

Mailing address

3005 13TH Avenue CT NW
Puyallup, WA 98371-3896
Phone (125) 324-5866

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": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1477237618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 13TH AVENUE CT NW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983713896",
            "telephone_number": "125-324-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 13TH AVENUE CT NW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983713896",
            "telephone_number": "125-324-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LAMIGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-245-8668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.