John Slightam MD Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JOHN SLIGHTAM MD INC.

Practice address

19987 1St Ave S
Suite 101
Normandy Park, WA 98148-2400

Phone

(206) 824-5554

Fax

(206) 824-5550

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

John David Slightam, MD

Title

President

Phone

(206) 824-5554

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

John Slightam MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John Slightam MD Inc.

  • Mental Health Counselor
  • Normandy Park, WA
  • NPI 1821481375
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• John Slightam MD Inc.

  • Mental Health Counselor
  • Normandy Park, WA
  • NPI 1821481375
  NPPES parent name

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1720483605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19987 1ST AVE S",
            "address_2": "SUITE 101",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482400",
            "telephone_number": "206-824-5554",
            "fax_number": "206-824-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19987 1ST AVE S",
            "address_2": "SUITE 101",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482400",
            "telephone_number": "206-824-5554",
            "fax_number": "206-824-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SLIGHTAM MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "SLIGHTAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-824-5554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1070028",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Devon Hemmert, LICSW
• Annaliesa Ruth Himmel, L.M.P.
• Lindsay Hoffe
• June Dan Hong, DDS
• Kerry Jarvi
• John Slightam MD Inc.
• Sidney Johnson
• Kalila Griffin Therapy PLLC
• Dean Kamplaine
• Darrell Aaron Keeney, DPT

• Psychiatry Physician in Normandy Park, WA
• Providers in Normandy Park, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.