Individual provider Active NPI

Amy Mok, PMHNP

  • Psychiatry Physician
  • Vancouver, WA
National Provider Identifier
1972018042
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
AP60784269 Issued in WA
Practice address
7803 NE Fourth Plain Blvd
Vancouver, WA 98662-7294
Phone
(586) 480-7000
Fax
(360) 695-0628
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X AP60784269 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60784269 WA

Addresses

Primary practice location

7803 NE Fourth Plain Blvd
Vancouver, WA 98662-7294

Mailing address

359 NW 47TH St
Seattle, WA 98107-4446
Phone (586) 480-7000

Other practice location 1

6100 NE Fourth Plain Blvd
Vancouver, WA 98661-6830
Phone (360) 947-2550

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190613000862 WA Practitioner - Nurse Practitioner 6103159769 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60784269WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Jan 26, 2026 Accepting new patients
Sea Mar Community Health Centers Psychiatric/Mental Health CurrentSince Jan 26, 2026 Accepting new patients

Locations

6100 NE Fourth Plain Blvd
Vancouver, WA 98661
Phone (360) 891-7300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1972018042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 NW 47TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074446",
            "telephone_number": "586-480-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7803 NE FOURTH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986627294",
            "telephone_number": "586-480-7000",
            "fax_number": "360-695-0628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 NE Fourth Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986616830",
            "country_code": "US",
            "telephone_number": "360-947-2550",
            "fax_number": "360-947-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOK",
        "first_name": "AMY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "AP60784269",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60784269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.