Active NPI
Anselm A Parlatore, MD
- Psychiatry Physician
- Poulsbo, WA
National Provider Identifier
1821757030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 00026485
- Practice address
- 20301 Bond Rd #150
Poulsbo, WA 98370 - Phone
- (360) 739-9865
- Fax
- (360) 881-0810
- NPI assigned
- Dec 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 00026485 | WA | Primary |
Addresses
Primary practice location
20301 Bond Rd #150
Poulsbo, WA 98370
Mailing address
25970 Shoalwater PL NE
Kingston, WA 98346
Phone (360) 739-9865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00026485 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1821757030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25970 SHOALWATER PL NE",
"city": "KINGSTON",
"state": "WA",
"postal_code": "98346",
"telephone_number": "360-739-9865",
"fax_number": "360-881-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20301 BOND RD #150",
"city": "POULSBO",
"state": "WA",
"postal_code": "98370",
"telephone_number": "360-739-9865",
"fax_number": "360-881-0810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARLATORE",
"first_name": "ANSELM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-15",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "00026485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.