Modern Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MODERN PSYCHIATRY

Doing business as

Bellevue Psychiatry

Practice address

1030 N Center Pkwy Ste 113
Kennewick, WA 99336-7160

Phone

(509) 910-4559

Fax

(509) 447-7455

NPI assigned

Jun 4, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Miguel De la Mora, DNPNPI 1821874462

Title

Owner

Phone

(509) 910-4559

Specialties & licenses 1

Addresses

Other names 1

• Bellevue Psychiatry Doing business as

Locations

Practitioners 1

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

• Miguel Angel De la Mora, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kennewick, WA
  • NPI 1821874462
  NPD Authorized official

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1720972961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N CENTER PKWY STE 113",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367160",
            "telephone_number": "509-910-4559",
            "fax_number": "509-447-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N CENTER PKWY STE 113",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367160",
            "telephone_number": "509-910-4559",
            "fax_number": "509-447-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 NE Holladay St Ste 1675",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322045",
            "country_code": "US",
            "telephone_number": "503-832-5105",
            "fax_number": "509-447-7455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 W Spruce St Ste 30",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023264",
            "country_code": "US",
            "telephone_number": "509-910-4559",
            "fax_number": "509-447-7455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11900 NE 1st St Ste 3023",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980053046",
            "country_code": "US",
            "telephone_number": "425-600-5227",
            "fax_number": "509-447-7455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Main St Ste 405",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986602960",
            "country_code": "US",
            "telephone_number": "360-977-7605",
            "fax_number": "509-447-7455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODERN PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "DE LA MORA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-910-4559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "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": [
        {
            "organization_name": "Bellevue Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Mitchell
• Monica Jill Mix, BSN RN
• MM Adult Day Services LLC Dba Town Square
• Wilbur Dean Mock, D.D.S.
• Amber Moddrell, AA
• Tamara Moe
• Aaron Moeller, DDS
• Andrew Todd Mohlman, D.D.S.
• Jocelyn Mohney, PHARMD
• Angela Mohr, ARNP

• Psychiatric/Mental Health Nurse Practitioner in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.