JUSTIN MOHATT (NPI# 1861417628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861417628 |
| Entity Type | Individual |
| Full Name | JUSTIN MOHATT |
| Credential | MD |
| Practice Address |
130 Nickerson St #204 Seattle WA 98109-1658 |
| Mailing Address |
525 E 68th St # 147 New York NY 10065-4870 |
| Practice Telephone | 2062821623 |
| Practice Fax Number | 2062821624 |
| Mailing Telephone | 2127461891 |
| Mailing Fax Number | 2127465944 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00045172 | WA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A104000 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25944 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A104000 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD00045172 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
130 NICKERSON ST #204 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588018147 | Brandi Casto | Psychologist | 130 Nickerson St, Suite 204, Seattle, WA 98109-1658 | 2016-04-20 |
| 1053480715 | David James Bird | Social Worker | 130 Nickerson St, #201, Seattle, WA 98109-1658 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792326 | Wellpsyche Seattle PC | Psychiatry & Neurology | 801 2nd Ave Ste 800, Seattle, WA 98104-1573 | 2019-04-15 |
| 1437288768 | Diane C Stein | Psychiatry & Neurology | 4026 Ne 55th St Ste E200, Seattle, WA 98105-2263 | 2007-03-04 |
| 1902996325 | Jack Martin Reiter | Psychiatry & Neurology | 726 Braodway, Suite 303, Seattle, WA 98122-4321 | 2006-10-14 |
| 1962591479 | Catherine Jackson Kuniyoshi | Psychiatry & Neurology | 1501 Western Ave Ste 110, Seattle, WA 98101-3500 | 2006-10-12 |
| 1447343082 | Tina Lee | Psychiatry & Neurology | 1200 5th Ave, Suite 800, Seattle, WA 98101-3132 | 2006-10-02 |
| 1215952288 | Soo-jeong Kim | Psychiatry & Neurology | 4909 25th Ave Ne, Seattle Childrens Autism Center, Seattle, WA 98105-4107 | 2006-07-12 |
| 1437125044 | Thomas Frederick Semper | Psychiatry & Neurology | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2006-02-23 |
| 1679951107 | Nicholas Meinhardt | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2015-05-17 |
| 1649615360 | Association of University Physicians | Psychiatry & Neurology | 325 9th Ave, Chrmc, Seattle, WA 98104-2420 | 2013-05-08 |
| 1639463367 | Douglas Andrew Russell | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2011-05-28 |
| 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.