EQUILIBRIUM PCS, PLLC (NPI# 1508392929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508392929 |
| Entity Type | Organization |
| Organization Name | EQUILIBRIUM PCS, PLLC |
| Practice Address |
1400 112th Ave Se Suite 205 Bellevue WA 98004-6901 |
| Practice Telephone | 4254128524 |
| Mailing Telephone | 4254128524 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | DR. ATA UL KARIM (OWNER) |
| Authorized Official Telephone | 2067242914 |
| Authorized Official Credential | PH.D.,MSIO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY60664721 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1400 112TH AVE SE SUITE 205 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760418560 | Tatjana Deretic | Psychiatry & Neurology | 1400 112th Ave Se, Ste. 100, Bellevue, WA 98004-6901 | 2006-06-23 |
| 1881066652 | Karla Garcia | Social Worker | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2015-10-20 |
| 1417328691 | Tessa Nicole Cooke | Counselor | 1400 112th Ave Se, Ste. 100 #35, Bellevue, WA 98004-6901 | 2015-10-13 |
| 1437540788 | Patti Davis Counseling | Community/Behavioral Health | 1400 112th Ave Se, Cedar Building Suite 202, Bellevue, WA 98004-6901 | 2015-02-09 |
| 1962801811 | Linda Mcgarvey | Counselor | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2014-08-16 |
| 1255742896 | Michael Keegan | Counselor | 1400 112th Ave Se, Ste 202, Bellevue, WA 98004-6901 | 2014-05-16 |
| 1003244948 | Jessica Kicha | Counselor | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2013-10-30 |
| 1407291578 | Shannon Marie Dickson | Specialist | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2013-05-02 |
| 1376892711 | Susan Ross | Social Worker | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2012-08-30 |
| 1467718890 | Adriana Prengler | Counselor | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2012-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672857 | Nancy Huenefeld Gese | Psychologist | 4315 Factoria Blvd Se, Ste B, Bellevue, WA 98006-1930 | 2005-10-12 |
| 1639602592 | Elisa Peterson | Psychologist | 13010 Ne 20th St, #300, Bellevue, WA 98005-2034 | 2017-04-07 |
| 1609194380 | Nancy Huenefeld, Inc | Psychologist | 4315 Factoria Blvd Se, Ste B, Bellevue, WA 98006-1930 | 2010-05-05 |
| 1972791358 | Matthew Todd Leibsohn | Psychologist | 1450 114th Ave Se, Ste 100, Bellevue, WA 98004-6962 | 2007-10-10 |
| 1598784399 | Elizabeth Jane Wilson | Psychologist | 11522 Ne 21st St, Bellevue, WA 98004-3025 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198451 | Terry Macdonald | Psychologist | 19125 N Creek Pkwy Ste 115, Bothell, WA 98011-8000 | 2018-09-20 |
| 1518447630 | Robert Matthew Fontana | Psychologist | 1827 Ne 58th St # B, Seattle, WA 98105-2440 | 2018-08-17 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1245732288 | Shannon Dubois | Psychologist | 19803 N Creek Pkwy # 205, Bothell, WA 98011-8214 | 2018-03-06 |
| 1982134714 | John M Gottman | Psychologist | 1689 Spring Point Rd, Deer Harbor, WA 98243-9824 | 2017-06-14 |
| 1245765650 | Renee St Jacques | Psychologist | 11441 81st Ave Ne, Kirkland, WA 98034-3558 | 2017-04-23 |
| 1962942409 | Lindsay Huettman | Psychologist | 28128 Florence Acres Rd, Monroe, WA 98272-9574 | 2017-03-02 |
| 1184160541 | Robin Barre | Psychologist | 421 Lincoln Avenue, Suite A, Mukilteo, WA 98237 | 2017-01-10 |
| 1144775644 | Lee M. Faver, Phd Pllc | Psychologist | 1220 Main St Ste 4, Vancouver, WA 98660-2953 | 2016-08-25 |
| 1780053454 | Jessica Renee Mason | Psychologist | 412 E Spokane Falls Blvd # 145d, Spokane, WA 99202-2131 | 2015-09-23 |
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| 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.