Shamatha Psychotherapy, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00009370 Issued in WA

Legal business name

SHAMATHA PSYCHOTHERAPY, INC.

Doing business as

Bart Ozretich, LICSW

Practice address

5425 Rainier Ave S Ste a
Seattle, WA 98118-2455

Phone

(650) 336-5384

Fax

(844) 787-9886

NPI assigned

Nov 15, 2016

Last updated

Jan 30, 2024By 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

Bart Thomas Ozretich, MSW, LICSWNPI 1114104379

Title

Owner/Provider

Phone

(650) 336-5384

Specialties & licenses 1

Addresses

Other names 1

• Bart Ozretich, LICSW Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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.

• Bart Thomas Ozretich, MSW, LICSW

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1114104379
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1558803908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 E DENNY WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223126",
            "telephone_number": "206-769-5685",
            "fax_number": "844-787-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 RAINIER AVE S STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182455",
            "telephone_number": "650-336-5384",
            "fax_number": "844-787-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMATHA PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "OZRETICH",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "650-336-5384",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bart Ozretich, LICSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel B Shallit, M.D.
• Sarah Shallit
• Lisa E.G. Shalloway, LMP
• Jonathan G Sham, M.D.
• Nina Jeanne Shamansky, DO
• Afshin Shameli, MD, PHD
• Anna Shamitoff, MD
• Carrie Ann Shamseldin, BSN, RN, CHPN
• Joseph A. Shamseldin, MD
• Shannon S Shamseldin, MD

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.