Active NPI
Marta Shala Erlich, M.D.
- Psychiatry Physician
- Bellingham, WA
National Provider Identifier
1619119369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD60353733
- Practice address
- 801 Samish Way
Bellingham, WA 98229-2901 - Phone
- (360) 255-2505
- Fax
- (360) 255-2504
- NPI assigned
- Mar 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD60353733 | WA | Primary |
Addresses
Primary practice location
801 Samish Way
Bellingham, WA 98229-2901
Mailing address
801 Samish Way
Bellingham, WA 98229-2901
Phone (360) 255-2505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 24, 2017 through May 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1619119369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 SAMISH WAY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982292901",
"telephone_number": "360-255-2505",
"fax_number": "360-255-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 SAMISH WAY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982292901",
"telephone_number": "360-255-2505",
"fax_number": "360-255-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERLICH",
"first_name": "MARTA",
"middle_name": "SHALA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD60353733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.