Active NPI
Charna Michelle Mintz
- Cognitive & Behavioral Psychologist
- Seattle, WA
National Provider Identifier
1962741645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Practice address
- 13525 32ND Ave NE
Suite a
Seattle, WA 98125-8613 - Phone
- (206) 365-0809
- Fax
- (206) 365-0872
- NPI assigned
- Jan 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary |
Addresses
Primary practice location
13525 32ND Ave NE
Suite a
Seattle, WA 98125-8613
Mailing address
901 N Monroe St.
Suite 200
Spokane, WA 99201-2148
Phone (509) 328-2740
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1962741645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N MONROE ST.",
"address_2": "SUITE 200",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012148",
"telephone_number": "509-328-2740",
"fax_number": "509-328-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13525 32ND AVE NE",
"address_2": "SUITE A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981258613",
"telephone_number": "206-365-0809",
"fax_number": "206-365-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTZ",
"first_name": "CHARNA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- Michelle Minshall, ND
- Bernard Minter, MSW
- Jessica Mintier
- Wendy L. Mintiero, EAMP, LMT
- Skyler James Minton, ARNP
- Minuteclinic Diagnostic of Washington, PLLC
- Minuteclinic Diagnostic of Washington, PLLC
- Minuteclinic Diagnostic of Washington, PLLC
- Janel Mioduuszewski, M.A., LMHC
- Nancy Anne Hillel Miovic, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.