SHIFA HEALTH PLLC (NPI# 1356415327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356415327 |
| Entity Type | Organization |
| Organization Name | SHIFA HEALTH PLLC |
| Practice Address |
1103 Cleveland Ave Mount Vernon WA 98273-4215 |
| Practice Telephone | 3603366868 |
| Practice Fax Number | 3603366866 |
| Mailing Telephone | 3603366868 |
| Mailing Fax Number | 3603366866 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ROZINA LAKHANI (MANAGING DIRECTOR) |
| Authorized Official Telephone | 3603366868 |
| Authorized Official Credential | MD, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
MD00037423 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1103 CLEVELAND AVE |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306883152 | Mark H Backlund | Psychiatry & Neurology | 1103 Cleveland Ave, Mount Vernon, WA 98273-4215 | 2006-06-01 |
| 1962726091 | Kyle Ozechowski | Psychologist | 1103 Cleveland Ave, Mount Vernon, WA 98273-4215 | 2010-03-18 |
| 1588601355 | Jeffrey Allen Berger | Psychiatry & Neurology | 1103 Cleveland Ave, Mount Vernon, WA 98273-4215 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730602657 | Lauren Helm | Psychologist | 1417 Nw 54th St Ste 458, Seattle, WA 98107-3564 | 2017-07-23 |
| 1104378157 | Walter Scott | Psychologist | Washington State, 100 Dairy Rd, Suite Jt 362, Pullman, WA 99164-5840 | 2016-10-25 |
| 1134677933 | Susan Huffaker | Psychologist | 1808 Richards Rd Ste 113, Bellevue, WA 98005-3982 | 2016-09-21 |
| 1326497231 | Logan Garrett Kaplan | Psychologist | 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2016-06-10 |
| 1508260050 | Whitney Jenkins | Psychologist | 2310 130th Ave Ne Ste 101, Bellevue, WA 98005-1757 | 2014-10-13 |
| 1467878637 | Josh Juul | Psychologist | 6700 Roosevelt Way Ne, #a303, Seattle, WA 98115-6637 | 2014-03-12 |
| 1740591486 | Kara Meyer | Psychologist | 825 Legion Way Se, Ste D, Olympia, WA 98501-1586 | 2010-06-28 |
| 1346475381 | Nancy Ellen Cohen | Psychologist | 216 Broadway E, Seattle, WA 98102-5776 | 2009-05-20 |
| 1629202668 | Barbara Smith | Psychologist | 11412 99th Pl Ne, Kirkland, WA 98033-4314 | 2009-05-05 |
| 1366628588 | John Eric Lawrence | Psychologist | 724 Bremerton Pl Ne, Renton, WA 98059-4763 | 2008-01-17 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
Please comment or provide details below to improve the information on SHIFA HEALTH PLLC.
| 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.