Active NPI
Sunida Bintasan, M.D.
- Psychiatry Physician
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00021407
- Practice address
- 500 S 336TH St Ste 213
Federal Way, WA 98003-6478 - Phone
- (206) 995-0727
- Fax
- (206) 325-5020
- NPI assigned
- Apr 18, 2007
- Last updated
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00021407 | WA | Primary |
| Psychosomatic Medicine Physician | 2084P0015X | 21407 | WA |
Addresses
Primary practice location
500 S 336TH St Ste 213
Federal Way, WA 98003-6478
Mailing address
1615 S Washington St
Seattle, WA 98144-2120
Phone (206) 228-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1422058 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21407 | WA | MD | Psychosomatic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonspirit Washington | Past | Accepting new patients | |
| Commonspirit Washington | Past | Accepting new patients | |
| Commonspirit Washington | Past | Accepting new patients | |
| Saint Clare Hospital | Past | Accepting new patients | |
| Comprehensive Mental Health Center of Tacoma-Pierce County | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Joseph Medical Center CTA
- Body Imaging Physician
- Tacoma, WA
- NPI 1285682492
-
dba Franciscan Pharmacy Tacoma
- Community/Retail Pharmacy
- Tacoma, WA
- NPI 1346588548
-
dba St Joseph Hospital Psychiatric Professional Services
- Psychiatric Hospital Unit
- Tacoma, WA
- NPI 1497978100
-
dba Comprehensive Life Resources
- Community/Behavioral Health Agency
- Tacoma, WA
- NPI 1952597056
-
dba St Clare Professional Psychiatric Services
- Psychiatric Hospital Unit
- Lakewood, WA
- NPI 1871724690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1902022775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 S WASHINGTON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442120",
"telephone_number": "206-228-5020",
"fax_number": "206-325-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S 336TH ST STE 213",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036478",
"telephone_number": "206-995-0727",
"fax_number": "206-325-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINTASAN",
"first_name": "SUNIDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00021407",
"primary": true
},
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "WA",
"license": "21407",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1422058",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.