Active NPI
Mikhail Y Ziskin, MD
- Psychologist
- Retsil, WA
National Provider Identifier
1972582252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MD00040809
- Practice address
- 1141 Beach Dr E
Retsil, WA 98378-8366 - Phone
- (360) 895-4700
- NPI assigned
- Jan 13, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | MD00040809 | WA | Primary |
Addresses
Primary practice location
1141 Beach Dr E
Retsil, WA 98378-8366
Mailing address
8016 56TH Street CT W
University Place, WA 98467-3955
Phone (253) 756-2531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8417339 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972582252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8016 56TH STREET CT W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984673955",
"telephone_number": "253-756-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 BEACH DR E",
"city": "RETSIL",
"state": "WA",
"postal_code": "983788366",
"telephone_number": "360-895-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZISKIN",
"first_name": "MIKHAIL",
"middle_name": "Y",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "MD00040809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8417339",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Retsil, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.