Organization Active NPI

Swofford & Roe Psychiatric Associates PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1932807310
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SWOFFORD & ROE PSYCHIATRIC ASSOCIATES PLLC
Practice address
2600 F St
Vancouver, WA 98663-3031
Phone
(480) 650-9996
NPI assigned
Feb 16, 2023
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Dr. Brendan Adam Roe, DNP, PMHNPNPI 1326390980
Title
Ceo
Phone
(480) 650-9996

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

2600 F St
Vancouver, WA 98663-3031

Mailing address

2600 F St
Vancouver, WA 98663-3031
Phone (480) 650-9996

National Provider Directory

National Provider Directory

Locations

2600 F St
Vancouver, WA 98663
Phone (360) 356-5057

5512 NE 109th Ct
Ste H
Vancouver, WA 98662
Phone (360) 719-2449

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1932807310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 F ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633031",
            "telephone_number": "480-650-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 F ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633031",
            "telephone_number": "480-650-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWOFFORD & ROE PSYCHIATRIC ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-650-9996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.