NPIMap

Organization Active NPI

Pacific Northwest Psychiatry, PS

Doing business as Sendan Center

  • Child & Adolescent Psychiatry Physician
  • Bellingham, WA
National Provider Identifier
1992072466
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD00039758 Issued in WA
Legal business name
PACIFIC NORTHWEST PSYCHIATRY, PS
Doing business as
Sendan Center
Practice address
1616 Cornwall Ave
Suite 103
Bellingham, WA 98225-4648
Phone
(360) 305-3275
Fax
(360) 655-5340
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Dr. James Michael Harle, M.D.NPI 1124014121
Title
President
Phone
(360) 305-3275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X CL60205887 WA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH00011061 WA
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X MD00039758 WA Primary

Addresses

Primary practice location

1616 Cornwall Ave
Suite 103
Bellingham, WA 98225-4648

Mailing address

4201 Meridian St Ste 113
Bellingham, WA 98226-5532
Phone (360) 305-3275

Other names 1

  • Sendan Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacific Northwest Psychiatry PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1616 Cornwall Ave
Ste 103
Bellingham, WA 98225
Phone (360) 305-3275

4201 Meridian St
Ste 113
Bellingham, WA 98226
Phone (360) 305-3275

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1992072466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MERIDIAN ST STE 113",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265532",
            "telephone_number": "360-305-3275",
            "fax_number": "360-655-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CORNWALL AVE",
            "address_2": "SUITE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254648",
            "telephone_number": "360-305-3275",
            "fax_number": "360-655-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST PSYCHIATRY, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "HARLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-305-3275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "CL60205887",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011061",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD00039758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sendan Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.