NPIMap

Organization Active NPI

Equilibrium PCS, PLLC

  • Counseling Psychologist
  • Bellevue, WA
National Provider Identifier
1508392929
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY60664721 Issued in WA
Legal business name
EQUILIBRIUM PCS, PLLC
Practice address
1400 112TH Ave SE
Suite 205
Bellevue, WA 98004-6901
Phone
(425) 412-8524
NPI assigned
May 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Dr. Ata Ul Karim, PH.D.,MSIONPI 1285175943
Title
Owner
Phone
(206) 724-2914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X PY60664721 WA Primary

Addresses

Primary practice location

1400 112TH Ave SE
Suite 205
Bellevue, WA 98004-6901

Mailing address

1400 112TH Ave SE
Suite 205
Bellevue, WA 98004-6901
Phone (425) 412-8524

National Provider Directory

National Provider Directory

Locations

1400 112th Ave SE
Ste 205
Bellevue, WA 98004
Phone (425) 467-6252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1508392929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 112TH AVE SE",
            "address_2": "SUITE 205",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046901",
            "telephone_number": "425-412-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 112TH AVE SE",
            "address_2": "SUITE 205",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046901",
            "telephone_number": "425-412-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM PCS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "ATA",
        "authorized_official_middle_name": "UL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-724-2914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D.,MSIO"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY60664721",
            "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 May 4, 2017; 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.