PEAK PERFORMANCE PSYCHIATRY & COUNSELING


Address: 1717 S Rustle St, Suite 212a, Spokane, WA 99224-2065
Phone: 5093154142

PEAK PERFORMANCE PSYCHIATRY & COUNSELING (NPI# 1326481375) 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) 1326481375
Entity Type Organization
Organization Name PEAK PERFORMANCE PSYCHIATRY & COUNSELING
Practice Address 1717 S Rustle St
Suite 212a
Spokane
WA 99224-2065
Practice Telephone 5093154142
Practice Fax Number 5092420797
Mailing Telephone 5093154142
Mailing Fax Number 5092420797
Enumeration Date 2013-04-09
Last Update Date 2013-05-10
Authorized Official Name DR. MICHAEL J REZNICEK (PSYCHIATRIST)
Authorized Official Telephone 5093154142
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations PEAK PERFORMANCE PSYCHIATRY & COUNSELING, PLLC 1717 S Rustle St Ste 212a, Spokane, WA 99224-2065

Office Location

Street Address 1717 S RUSTLE ST
SUITE 212A
City SPOKANE
State WA
Zip Code 99224-2065

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1780130328 Ashana Kelly Behavioral Analyst 5709 West Sunset Hwy #100, Spokane, WA 99224 2016-09-01
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1942518865 Passages Family Support A Nonprofit Corporation Clinic/Center 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 2010-09-14
1871064238 Hayley Stewart Licsw Clinic/Center 707 W 7th Ave Ste 270, Spokane, WA 99204-2821 2018-12-11
1942718598 Climb LLC Clinic/Center 220 W Main Ave, Spokane, WA 99201-0112 2018-01-17
1790298610 Charmed Counseling Clinic/Center 1405 E 12th Ave, Spokane, WA 99202-3527 2017-11-14
1336668656 Derive Family Therapy Clinic/Center 12128 N Division St Unit 447, Spokane, WA 99218-1905 2017-09-18
1356863591 Tami Haley Licsw Clinic/Center 707 W 7th Ave Ste 294, Spokane, WA 99204-2833 2017-07-10
1669924916 Foundation Mental Health, LLC Clinic/Center 203 N Washington St, Suite 200, Spokane, WA 99201-0233 2016-11-02
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Competitor

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City SPOKANE
Zip Code 99224

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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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