Organization Active NPI

Redesign Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Renton, WA
National Provider Identifier
1720750706
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
REDESIGN MENTAL HEALTH, PLLC
Practice address
14410 SE Petrovitsky Rd Ste 209
Renton, WA 98058-8900
Phone
(425) 578-9505
Fax
(425) 578-9505
NPI assigned
Sep 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Stefani Yorgason
Title
Co-Founder
Phone
(425) 578-9505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

14410 SE Petrovitsky Rd Ste 209
Renton, WA 98058-8900

Mailing address

14410 SE Petrovitsky Rd Ste 209
Renton, WA 98058-8900
Phone (425) 578-9505

National Provider Directory

National Provider Directory

Locations

14410 SE Petrovitsky Rd
Ste 209
Renton, WA 98058
Phone (425) 282-5545

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1720750706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14410 SE PETROVITSKY RD STE 209",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588900",
            "telephone_number": "425-578-9505",
            "fax_number": "425-207-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 SE PETROVITSKY RD STE 209",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588900",
            "telephone_number": "425-578-9505",
            "fax_number": "425-578-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDESIGN MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "YORGASON",
        "authorized_official_first_name": "STEFANI",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "425-578-9505"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.