Active NPI
Canyonview Family Psychiatry, PLLP
- Psychiatry Physician
- Kennewick, WA
National Provider Identifier
1972156297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Kennewick, WA
- NPI 1275535866
Single Specialty
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.