Organization Active NPI

Gilfeather Psychiatric Services,LLC

  • Psychiatry Physician
  • Port Orchard, WA
National Provider Identifier
1548555808
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD60164245 Issued in WA
Legal business name
GILFEATHER PSYCHIATRIC SERVICES,LLC
Practice address
9662 Phillips Rd SE
Port Orchard, WA 98367-8725
Phone
(360) 874-0719
Fax
(360) 874-0719
NPI assigned
Jun 15, 2011
Last updated
Jun 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Brian GilfeatherNPI 1447297353
Title
Co-Founder
Phone
(360) 874-0719

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
Psychiatry Physician 2084P0800X MD60164245 WA Primary

Addresses

Primary practice location

9662 Phillips Rd SE
Port Orchard, WA 98367-8725

Mailing address

9662 Phillips Rd SE
Port Orchard, WA 98367-8725
Phone (360) 874-0719

Other identifiers 1

IdentifierTypeStateIssuer
603-054-408OtherWAUNIVERSAL BUSINESS IDENTIFIER

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": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1548555808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9662 PHILLIPS RD SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678725",
            "telephone_number": "360-874-0719",
            "fax_number": "360-874-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9662 PHILLIPS RD SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678725",
            "telephone_number": "360-874-0719",
            "fax_number": "360-874-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILFEATHER PSYCHIATRIC SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "GILFEATHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "360-874-0719"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60164245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL BUSINESS IDENTIFIER",
            "identifier": "603-054-408",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.