West Olympia Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60545632 Issued in WA

Legal business name

WEST OLYMPIA PSYCHIATRY PLLC

Doing business as

Mary Schroeder ARNP
Olympia Psychiatry

Practice address

924 7TH Ave SE
Olympia, WA 98501-1548

Phone

(360) 485-0165

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Mary E Schroeder, ARNP

Title

Nurse Practitioner/Owner

Phone

(360) 742-4717

Specialties & licenses 1

Addresses

Other names 2

• Mary Schroeder ARNP Doing business as
• Olympia Psychiatry Doing business as

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1952897373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 OVERHULSE RD NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022552",
            "telephone_number": "360-742-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 7TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011548",
            "telephone_number": "360-485-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST OLYMPIA PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "360-742-4717",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60545632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Schroeder ARNP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olympia Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Olympia, WA
• Providers in Olympia, 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 Jul 9, 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.