Sitara Medical Inc PS

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SITARA MEDICAL INC PS

Practice address

14841 179TH Ave SE Ste 210
Monroe, WA 98272-1127

Phone

(425) 802-2861

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Syed Hadi Jafar, MDNPI 1164437521

Title

Owner

Phone

(425) 802-2861

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed H Jafar, M.D.

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1164437521
  NPD (past) Authorized official

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1689864209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14340 SE 87TH PL",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593429",
            "telephone_number": "425-802-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14841 179TH AVE SE STE 210",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721127",
            "telephone_number": "425-802-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITARA MEDICAL INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "JAFAR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "HADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-802-2861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1120922",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashok Basant Shroff, M.D.
• Mariya Shurnene, MS, RD, CN
• Suzanne M Silvermoon, LMT
• Aaditya Singhal, M.D.
• Jessica Ann Sisu
• Heidi Colette Sitton, RN
• Skinenvy LLC
• Anne Cathryn Skoog, LMP LICENSED MASSAGE
• Sky Valley Chiropractic Clinic P.S.
• Sky Valley Psychedelic Medical

• Mental Health Clinic/Center (Including Community Mental Health Center) in Monroe, WA
• Providers in Monroe, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.