Individual provider Active NPI

Marie Carmel Desire, MD

  • Psychiatry Physician
  • Wenatchee, WA
National Provider Identifier
1922058783
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00044463 Issued in WA
Practice address
145 S Worthen St
Wenatchee, WA 98801
Phone
(509) 662-6761
Fax
(509) 662-3182
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00044463 WA Primary

Addresses

Primary practice location

145 S Worthen St
Wenatchee, WA 98801

Mailing address

145 S Worthen St
Wenatchee, WA 98801-3081
Phone (509) 662-6761

Other practice location 1

238 N Chelan Ave
Wenatchee, WA 98801-2105
Phone (509) 293-7727

Other identifiers 1

IdentifierTypeStateIssuer
8426215MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000341 WA Practitioner - Psychiatry 1355384595 Reassigns benefits to 1 organization
Practice locations: Wenatchee, WA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Charities of the Diocese of YakimaGroup PAC ID 2163594797, 13 clinicians

Practice addresses (Care Compare)

5301 Tieton Dr
Suite C
Yakima, WA 98908-3479
Phone (509) 965-7100

Hospital & facility affiliations

  • Confluence Health Hospital Hospital, Wenatchee, WA, CCN 500016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00044463WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Yakima CurrentSince Jan 1, 2014 Accepting new patients
New Hope Recovery LLC. Past Accepting new patients

Locations

145 S Worthen St
Wenatchee, WA 98801
Phone (509) 662-6712

5301 Tieton Dr
Ste C
Yakima, WA 98908
Phone (509) 965-7100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1922058783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S WORTHEN ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013081",
            "telephone_number": "509-662-6761",
            "fax_number": "509-662-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S WORTHEN ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "509-662-6761",
            "fax_number": "509-662-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 N Chelan Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012105",
            "country_code": "US",
            "telephone_number": "509-293-7727",
            "fax_number": "509-293-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESIRE",
        "first_name": "MARIE CARMEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00044463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8426215",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.