Active NPI
William H Grant, MD
- Psychiatry Physician
- Medical Lake, WA
National Provider Identifier
1710969613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00043271
- Practice address
- 800 W Maple St
Medical Lake, WA 99022-0800 - Phone
- (509) 299-3121
- Fax
- (509) 299-7015
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00043271 | WA | Primary |
Addresses
Primary practice location
800 W Maple St
Medical Lake, WA 99022-0800
Mailing address
PO Box 800
800 West Maple Street
Medical Lake, WA 99022-0800
Phone (509) 299-3121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8421489 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00043271 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Social | Past | Accepting new patients | |
| Eastern State Hospital Pharmacy | Past | Accepting new patients | |
| Department of Social Dept of SHS Div of Instns | Psychiatry | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Tacoma, WA
- NPI 1144295080
-
- Psychiatric Hospital
- Medical Lake, WA
- NPI 1467440602
Psychiatry
-
- Long Term Care Pharmacy
- Medical Lake, WA
- NPI 1679651970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710969613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800",
"address_2": "800 WEST MAPLE STREET",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990220800",
"telephone_number": "509-299-3121",
"fax_number": "509-299-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W MAPLE ST",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990220800",
"telephone_number": "509-299-3121",
"fax_number": "509-299-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "WILLIAM",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00043271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8421489",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medical Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.