Organization Active NPI

Bainbridge Mental Health, PLLC

Doing business as Sport Psych MD

  • Psychiatry Physician
  • Bainbridge Island, WA
National Provider Identifier
1710808753
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BAINBRIDGE MENTAL HEALTH, PLLC
Doing business as
Sport Psych MD
Practice address
271 Wyatt Way NE Ste 200
Bainbridge Island, WA 98110-2873
Phone
(206) 580-3208
Fax
(206) 360-1922
NPI assigned
Jul 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Dr. Britt T Gonsoulin, MD, MPH
Title
Owner
Phone
(206) 580-3208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

271 Wyatt Way NE Ste 200
Bainbridge Island, WA 98110-2873

Mailing address

271 Wyatt Way NE Ste 200
Bainbridge Island, WA 98110-2873
Phone (206) 580-3208

Other names 1

  • Sport Psych MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1710808753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 WYATT WAY NE STE 200",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102873",
            "telephone_number": "206-580-3208",
            "fax_number": "206-360-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 WYATT WAY NE STE 200",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102873",
            "telephone_number": "206-580-3208",
            "fax_number": "206-360-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "GONSOULIN",
        "authorized_official_first_name": "BRITT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-580-3208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sport Psych MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.