BALLARD AVENUE PSYCHIATRY PLLC (NPI# 1720620644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720620644 |
| Entity Type | Organization |
| Organization Name | BALLARD AVENUE PSYCHIATRY PLLC |
| Practice Address |
5306 Ballard Ave Nw Ste 317 Seattle WA 98107-4366 |
| Practice Telephone | 2064559008 |
| Practice Fax Number | 4375375124 |
| Mailing Telephone | 2064559008 |
| Mailing Fax Number | 4375375124 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | DR. MARY LANG-FURR (OWNER/PSYCHIATRIST) |
| Authorized Official Telephone | 2064559008 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BALLARD AVENUE PSYCHIATRY PLLC | 5306 Ballard Ave Nw Ste 317, Seattle, WA 98107-4366 |
| Street Address |
5306 BALLARD AVE NW STE 317 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98107-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1619519493 | Charles Aljon Corpuz Agabin | Pharmacist | 1448 Nw Market Street, Suite 100, Seattle, WA 98107 | 2019-10-12 |
| 1427610682 | Dalillah Bernal Nord | Advanced Practice Midwife | 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 | 2019-07-08 |
| 1740849660 | Harmonic Healing LLC | Acupuncturist | 1551 Nw 54th Street Suite 204, Seattle, WA 98107 | 2019-06-13 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1801363502 | Bianca Marie Maggio | Physical Therapist | 5300 Tallman Ave, Outpatient Rehab Services 1-south, Seattle, WA 98107 | 2018-10-31 |
| 1831690726 | Sara Blackmur | Social Worker | 1417 Nw 54th St Ste 324, Seattle, WA 98107 | 2018-02-26 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1184148413 | John Julian Heal | Occupational Therapy Assistant | 5440 Leary Ave Nw, Unit 321, Seattle, WA 98107 | 2017-07-28 |
| 1710416169 | Heather Tracey Marie Osias | Social Worker | 2251 Nw 60th Street Apt B, Seattle, WA 98107 | 2017-06-08 |
| Find all providers in zip 98107 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067439 | New Advanced Healthcare Consulting Pllc | Clinic/Center | 300 Lenora St # 984, Seattle, WA 98121-2411 | 2020-09-15 |
| 1194336453 | Affiliated Mental Health Programs, Inc. | Clinic/Center | 6511 51st Ave S, Seattle, WA 98118-3319 | 2020-08-11 |
| 1801406624 | Skylark Behavioral Health, Pllc | Clinic/Center | 300 Lenora St # 957, Seattle, WA 98121-2411 | 2020-08-06 |
| 1265917520 | Lily Ewing Counseling, LLC | Clinic/Center | 11625 Rainier Ave S Ste 201, Seattle, WA 98178-3983 | 2018-10-02 |
| 1235633322 | Goodness & Grief Counseling, Pllc | Clinic/Center | 108 S Jackson St Ste 203, Seattle, WA 98104-2883 | 2018-03-22 |
| 1356761654 | Dominique Walmsley | Clinic/Center | 2329 N 62nd St, Seattle, WA 98103-5722 | 2014-04-25 |
| 1720419716 | University of Washington | Clinic/Center | 3935 University Way Ne, Box 355915, Seattle, WA 98195-5915 | 2013-12-02 |
| 1174143762 | Seattle Compassionate Counseling, Pllc | Clinic/Center | 1417 Nw 54th St Ste 438, Seattle, WA 98107-3561 | 2020-04-23 |
| 1801436480 | Megan Wagoner Psyd Pllc | Clinic/Center | 4860 Rainier Ave S Ste C, Seattle, WA 98118-6305 | 2020-01-10 |
| 1588214167 | Rosewood Psychology, P.C. | Clinic/Center | 1707 N 45th St Ste 100, Seattle, WA 98103-6872 | 2019-09-16 |
| Find all providers in SEATTLE | ||||
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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.