Organization Active NPI

Let Tas Psychiatry Services

  • Clinic/Center
  • Everett, WA
National Provider Identifier
1629892146
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LET TAS PSYCHIATRY SERVICES
Practice address
9604 25TH Dr SE
Everett, WA 98208-2927
Phone
(281) 752-6895
NPI assigned
Nov 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Agnes Benjamin
Title
Ceo
Phone
(281) 752-6895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9604 25TH Dr SE
Everett, WA 98208-2927

Mailing address

9604 25TH Dr SE
Everett, WA 98208-2927

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1629892146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 25TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9604 25TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082927",
            "telephone_number": "281-752-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET TAS PSYCHIATRY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-752-6895"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.