Organization Active NPI

Canyonview Family Psychiatry, PLLP

  • Psychiatry Physician
  • Kennewick, WA
National Provider Identifier
1972156297
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CANYONVIEW FAMILY PSYCHIATRY, PLLP
Doing business as
Canyonview Family Psychiatry
Practice address
1030 N Center Pkwy Ste N197
Kennewick, WA 99336-7160
Phone
(509) 957-2130
Fax
(509) 957-2096
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Amy Graham
Title
Office Manager
Phone
(509) 957-2130

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1030 N Center Pkwy Ste N197
Kennewick, WA 99336-7160

Mailing address

1030 N Center Pkwy Ste N197
Kennewick, WA 99336-7160
Phone (509) 957-2130

Other names 1

  • Canyonview Family Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

450 Thain Rd
Ste F
Lewiston, ID 83501
Phone (208) 743-0150

1030 N Center Pkwy
Ste N197
Kennewick, WA 99336
Phone (509) 957-2130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1972156297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N CENTER PKWY STE N197",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367160",
            "telephone_number": "509-957-2130",
            "fax_number": "509-957-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N CENTER PKWY STE N197",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367160",
            "telephone_number": "509-957-2130",
            "fax_number": "509-957-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYONVIEW FAMILY PSYCHIATRY, PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-957-2130"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyonview Family Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Canyonview Family Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.