KORSGAARD MENTAL HEALTH, INC


Address: 140 S 140 Arthur St, Ste 415, Spokane, WA 99202-2220
Phone: 5093895794

KORSGAARD MENTAL HEALTH, INC (NPI# 1245507664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245507664
Entity Type Organization
Organization Name KORSGAARD MENTAL HEALTH, INC
Practice Address 140 S 140 Arthur St
Ste 415
Spokane
WA 99202-2220
Mailing Address 140 S Arthur St
Ste 670
Spokane
WA 99202-2204
Practice Telephone 5093895794
Practice Fax Number 5095330627
Mailing Telephone 5093895794
Mailing Fax Number 5095339627
Enumeration Date 2011-11-30
Last Update Date 2016-11-30
Authorized Official Name MR. CHRISTOPHER PATRICK KORSGAARD (CHAIRMAN OF THE BOARD)
Authorized Official Telephone 5093895794
Authorized Official Credential ARNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP30007598 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 20000528 05

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations KORSGAARD MENTAL HEALTH, INC. 140 S Arthur St Ste 670, Spokane, WA 99202-2220

Office Location

Street Address 140 S 140 ARTHUR ST
STE 415
City SPOKANE
State WA
Zip Code 99202-2220

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NPI Name Taxonomy Address Enumeration
1669099552 Morgan Physiotherapy, Pllc Physical Therapist 716 South Arthur Street, Spokane, WA 99202 2020-06-26
1659926863 Hiliary Beatty Marriage & Family Therapist 3101 E Boone Avenue, Spokane, WA 99202 2019-08-05
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1750858171 Elyse M Tullar Counselor 3101 E Boone Ave, Spokane, WA 99202 2018-10-24
1952830333 Kaleb E Walker Case Manager/Care Coordinator 1002 N Superior, Spokane, WA 99202 2017-06-08
1659823987 Laura Lenoue Chiropractor 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 2016-11-03
1376095141 Clinton George Ralph Counselor 624 S Cowley, Spokane, WA 99202 2016-10-27
1144772245 Megan Nicole Korst Counselor 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 2016-10-25
1043766652 Moffitt Children's Dentistry Dentist 520 S Cowley St Ste 101, Spokane, WA 99202 2016-09-01
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619576774 Bethany Heath Arnp-pmhnp Pllc Nurse Practitioner 1224 West Riverside, Apt 408, Spokane, WA 99201 2020-10-20
1386254290 Candie M. Wellwood Nurse Practitioner 9908 S Sherman Rd, Spokane, WA 99224-9811 2020-08-05
1104434679 Progressive Psychiatric Consultant Nurse Practitioner 170 S Lincoln St # 150, Spokane, WA 99201-4443 2020-07-21
1376104232 Bethany Ann Heath Nurse Practitioner 5420 W Barnes Rd Apt 206, Spokane, WA 99208-7031 2019-06-21
1467948471 Nicholas Goodwin Nurse Practitioner 1106 W Garland Ave, Spokane, WA 99205-2735 2018-07-03
1770095325 Erin Ryan Nurse Practitioner 1013 W Briar Cliff Dr, Spokane, WA 99218-2416 2017-11-03
1972967305 Roberta Plunkett Nurse Practitioner 140 S. Arthur St., Suite 415, Spokane, WA 99202 2016-04-12
1861815037 Michael Jude Lynch Nurse Practitioner 2136 W Riverside Ave, Spokane, WA 99201-1444 2014-01-24
1427247410 Kristin Angelic Miller Nurse Practitioner 3711 W Woodside Ave, Spokane, WA 99208-4860 2007-10-16
1114071271 Joan C Chase Nurse Practitioner 1212 N Washington St Ste 214, Spokane, WA 99201-2401 2007-01-23
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Competitor

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City SPOKANE
Zip Code 99202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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