Individual provider Active NPI

Kevin David Rodas Galindo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mercer Island, WA
National Provider Identifier
1730663246
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61194159 Issued in WA
Practice address
9311 SE 36TH St Ste 120
Mercer Island, WA 98040-3741
Phone
(206) 312-5373
NPI assigned
Sep 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61194159 WA Primary

Addresses

Primary practice location

9311 SE 36TH St Ste 120
Mercer Island, WA 98040-3741

Mailing address

9311 SE 36TH St Ste 120
Mercer Island, WA 98040-3741
Phone (206) 312-5373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627000810 WA Practitioner - Nurse Practitioner 8224417969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians
Grace Mindcare PCGroup PAC ID 6507383023, 2 clinicians

Practice addresses (Care Compare)

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

9311 SE 36TH St
Suite 120
Mercer Island, WA 98040-3741
Phone (206) 312-5373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61194159WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Mindcare PC CurrentSince Feb 21, 2024 Accepting new patients
Grace Mindcare PC CurrentSince Mar 15, 2025 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jun 8, 2022 Accepting new patients

Locations

34509 9th Ave S
Ste 104
Federal Way, WA 98003
Phone (253) 572-5140

9311 SE 36th St
Ste 120
Mercer Island, WA 98040
Phone (206) 312-5373

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

617 Eastlake Ave E
Ste 410
Seattle, WA 98109
Phone (206) 312-5373

Interoperability endpoints

  • Direct secure messaging: gracemindcare.kevinrodasgalindo@159428.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1730663246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 SE 36TH ST STE 120",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403741",
            "telephone_number": "206-312-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9311 SE 36TH ST STE 120",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403741",
            "telephone_number": "206-312-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODAS GALINDO",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-20",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61194159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.