Organization Active NPI

Maitri Institute, PLLC

  • Marriage & Family Therapist
  • Bellevue, WA
National Provider Identifier
1760601223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00001096 Issued in WA
Legal business name
MAITRI INSTITUTE, PLLC
Practice address
1309 114TH Ave SE
Suite 210
Bellevue, WA 98004-6903
Phone
(425) 688-8585
Fax
(425) 637-1150
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sandra C. Zboyan, L.M.F.T.
Title
Co-Owner, Therapist
Phone
(425) 688-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LF00001096 WA Primary

Addresses

Primary practice location

1309 114TH Ave SE
Suite 210
Bellevue, WA 98004-6903

Mailing address

1309 114TH Ave SE
Suite 210
Bellevue, WA 98004-6903
Phone (425) 688-8585

Other identifiers 1

IdentifierTypeStateIssuer
LF00001096OtherWASTATE L.M.F.T. LICENSE

National Provider Directory

National Provider Directory

Locations

1309 114th Ave SE
Ste 210
Bellevue, WA 98004
Phone (425) 688-8585

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760601223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 114TH AVE SE",
            "address_2": "SUITE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046903",
            "telephone_number": "425-688-8585",
            "fax_number": "425-637-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 114TH AVE SE",
            "address_2": "SUITE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046903",
            "telephone_number": "425-688-8585",
            "fax_number": "425-637-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITRI INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZBOYAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CO-OWNER, THERAPIST",
        "authorized_official_telephone_number": "425-688-8585",
        "authorized_official_credential": "L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L.M.F.T. LICENSE",
            "identifier": "LF00001096",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.