James F. Roark Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD19507 Issued in WA

Practice address

2025 1St Ave
Suite 760
Seattle, WA 98121-2158

Phone

(206) 728-5878

Fax

(206) 728-5876

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark R McClung MD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1376812131
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629138433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 FIRST AVENUE",
            "address_2": "SUITE 760",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212100",
            "telephone_number": "206-728-5878",
            "fax_number": "206-728-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 1ST AVE",
            "address_2": "SUITE 760",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212158",
            "telephone_number": "206-728-5878",
            "fax_number": "206-728-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "JAMES",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD19507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Roach, M.D.
• Road to Healing Psychiatric LLC
• Florence Roan, MD
• Roanoke Park Counseling
• Diana Roar, MA 60758945
• Megan Roark
• Chester Mark Robachinski, M.D.
• Zeinaba Abdulkadir Robale
• Charitey Lee Robar, ARNP
• Violet Martin Robb, DNP ARNP, FNP-C

• Psychiatry Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.