Domain Psychiatry, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DOMAIN PSYCHIATRY, PLLC

Practice address

819 N 49TH St Ste 302
Seattle, WA 98103-6577

Phone

(206) 208-8957

NPI assigned

Sep 26, 2025

Organization subpart

No

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

Authorized official

Name

Matthew ClarkNPI 1689556201

Title

Owner

Phone

(206) 208-8957

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew Clark

  • Psychiatric/Mental Health Nurse Practitioner
  • Olympia, WA
  • NPI 1689556201
  NPD Authorized official

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1902779796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257",
            "address_2": "PMB 11130",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070257",
            "telephone_number": "206-208-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N 49TH ST STE 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036577",
            "telephone_number": "206-208-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMAIN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-208-8957"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemi Morenikeji Doll, M.D.
• Valerie Cadelinia Ramelb Dollente
• Jo-Ana Dolojan, ARNP
• Hilary Dolstad, MD
• Grace E Dolton, LMP
• Julia Cook Dombrowski, MD
• Domenique Edwards, PLLC
• Liza M Dominguez-Colman, MD
• Amairani Dominguez
• Marquicia Dominguez, MED, BCBA, LBA

• Psychiatric/Mental Health Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.