Organization Active NPI

Kelsey Martell DO PLLC

  • Adult Mental Health Clinic/Center
  • Spokane, WA
National Provider Identifier
1700655594
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KELSEY MARTELL DO PLLC
Practice address
827 W 1St Ave Ste 415
Spokane, WA 99201-3904
Phone
(509) 612-3365
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Kelsey Martell, DONPI 1669976387
Title
Physician/Owner
Phone
(509) 612-3365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

827 W 1St Ave Ste 415
Spokane, WA 99201-3904

Mailing address

827 W 1St Ave Ste 415
Spokane, WA 99201-3904
Phone (509) 612-3365

Other practice location 1

601 W 1st Ave Ste 1400
Spokane, WA 99201-3813
Phone (509) 612-3365

Other names 1

  • Mountain Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

827 W 1st Ave
Ste 415
Spokane, WA 99201
Phone (509) 612-3365

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1700655594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 W 1ST AVE STE 415",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013904",
            "telephone_number": "509-612-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W 1ST AVE STE 415",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013904",
            "telephone_number": "509-612-3365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 1st Ave Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992013813",
            "country_code": "US",
            "telephone_number": "509-612-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELSEY MARTELL DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "509-612-3365",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.