NPIMap

Organization Active NPI

Mejah Soong PLLC

  • Psychiatry Physician
  • Port Townsend, WA
National Provider Identifier
1891281036
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00048978 Issued in WA
Legal business name
MEJAH SOONG PLLC
Practice address
1136 Water St Ste 107
Port Townsend, WA 98368-6728
Phone
(360) 499-6750
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Mejah Soong, MDNPI 1164646311
Title
Owner
Phone
(360) 499-6750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD00048978 WA Primary

Addresses

Primary practice location

1136 Water St Ste 107
Port Townsend, WA 98368-6728

Mailing address

1136 Water St Ste 107
Port Townsend, WA 98368-6728
Phone (360) 499-6750

National Provider Directory

National Provider Directory

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": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1891281036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 WATER ST STE 107",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686728",
            "telephone_number": "360-499-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 WATER ST STE 107",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686728",
            "telephone_number": "360-499-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEJAH SOONG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "SOONG",
        "authorized_official_first_name": "MEJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-499-6750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00048978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.