Active NPI
Gilfeather Psychiatric Services,LLC
- Psychiatry Physician
- Port Orchard, WA
National Provider Identifier
1548555808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD60164245
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Gilfeather
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603-054-408 | Other | WA | UNIVERSAL BUSINESS IDENTIFIER |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatry Physician
- Bremerton, WA
- NPI 1447297353
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.