Ballard Psychiatric Associates, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP3007939 Issued in WA

Legal business name

BALLARD PSYCHIATRIC ASSOCIATES, PLLC

Practice address

1405 NW 85TH St Ste 4
Seattle, WA 98117-4237

Phone

(206) 452-6009

Fax

(206) 707-8299

NPI assigned

Nov 6, 2013

Last updated

Nov 6, 2013By 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

Robert Brian Noonan, ARNP

Title

Arnp

Phone

(206) 452-6009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1619306065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 NW 85TH ST STE 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174237",
            "telephone_number": "206-452-6009",
            "fax_number": "206-707-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 NW 85TH ST STE 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174237",
            "telephone_number": "206-452-6009",
            "fax_number": "206-707-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD PSYCHIATRIC ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "206-452-6009",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP3007939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1054750",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ballard OBGYN, P.C.
• Ballard Optical PS
• Ballard Optometry, PLLC (Ballard Optical)
• Ballard Pediatric Clinic Inc PS
• Ballard Plaza Pharmacy I Inc (Ballard Plaza Pharmacy)
• Ballard Recovery Services
• Ballard Speech & Hearing Ctr. P.S.
• Ballard Vision Works PLLC (Ballard Optical)
• Ballard Wellness Clinic
• Ballard Women's Health

• Psychiatric/Mental Health Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.