Pinel Clinic,PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00018680 Issued in WA

Legal business name

PINEL CLINIC,PLLC

Practice address

1800 Cooper Point Rd SW
BLDG 18
Olympia, WA 98502-1178

Phone

(360) 491-8002

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

David Longmuir, MBA

Title

Billing Manager

Phone

(800) 831-3322

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1689866097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW",
            "address_2": "BLDG 18",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021178",
            "telephone_number": "360-491-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW",
            "address_2": "BLDG 18",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021178",
            "telephone_number": "360-491-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEL CLINIC,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "LONGMUIR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "800-831-3322",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00018680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7129067",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Pierce
• Krista Louise Piliusenko, DPT
• Chloe Pimentel
• Kyle Pine
• Ronald Bang Pineda
• Angie Nathalie Pineros Castano
• Elizabeth Piper, DPT
• Reagan K Piper, LPN
• Amber L Piranio, ARNP
• Stacy Schilter Pisano, M.A., LMFT, CEDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.