Organization Active NPI

Green Park Northwest Psychiatry LLC

  • Psychiatry Physician
  • Bellevue, WA
National Provider Identifier
1578437356
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GREEN PARK NORTHWEST PSYCHIATRY LLC
Practice address
15805 NE 28TH St
Bellevue, WA 98008-2127
Phone
(470) 760-2426
NPI assigned
Oct 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Ibrahim Rahman, MDNPI 1548143167
Title
Owner
Phone
(470) 760-2426

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

15805 NE 28TH St
Bellevue, WA 98008-2127

Mailing address

15805 NE 28TH St
Bellevue, WA 98008-2127
Phone (470) 760-2426

National Provider Directory

National Provider Directory

Locations

15805 NE 28th St
Bellevue, WA 98008
Phone (470) 760-2426

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": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1578437356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15805 NE 28TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082127",
            "telephone_number": "470-760-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15805 NE 28TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082127",
            "telephone_number": "470-760-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN PARK NORTHWEST PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-760-2426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Oct 3, 2025; 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.