PACIFIC WELLNESS PARTNERS (PWP) PLLC (NPI# 1902441751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902441751 |
| Entity Type | Organization |
| Organization Name | PACIFIC WELLNESS PARTNERS (PWP) PLLC |
| Practice Address |
5400 Carillon Pt Bldg 50004th Kirkland WA 98033-7357 |
| Mailing Address |
2022 210th Cir Ne Sammamish WA 98074-4210 |
| Practice Telephone | 8186354337 |
| Mailing Telephone | 8186354337 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Authorized Official Name | DR. SHADI SHIRAZI (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Telephone | 8186354337 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
5400 CARILLON PT BLDG 50004TH |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-7357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003435694 | Jared Newman Kilmer | Psychologist | 12025 115th Ave Ne Ste 215, Kirkland, WA 98034-6943 | 2020-04-13 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1689997587 | Janet Maring Kowalski | Psychologist | 12220 113th Ave Ne Ste 210, Kirkland, WA 98034-6950 | 2010-03-05 |
| 1992849335 | Neal and Bakewell Psychological and Counseling Services Inc | Psychologist | 105 Central Way, Suite 200, Kirkland, WA 98033-6162 | 2007-02-19 |
| 1164594347 | David Wesley Montgomery | Psychologist | 433 State St Ste 2, Kirkland, WA 98033-6615 | 2006-11-14 |
| 1760567580 | Michelle Toshika Toshima | Psychologist | 12333 Ne 130th Ln Ste 225, Kirkland, WA 98034-7467 | 2006-10-27 |
| 1518040732 | Scott William Lee | Psychologist | 12412 Ne 112th Pl, Kirkland, WA 98033-4111 | 2006-10-23 |
| 1568560282 | Paul David Smetko | Psychologist | 10604 Ne 38th Pl, Suite 132, Kirkland, WA 98033-7933 | 2006-09-20 |
| 1386746139 | Karen Anne Beckman | Psychologist | 620 Kirkland Way Ste 104, Kirkland, WA 98033-6021 | 2006-09-02 |
| 1457362915 | Carla K. Bradshaw | Psychologist | 1104 Market Street, Kirkland, WA 98033-5441 | 2006-08-10 |
| Find all providers in KIRKLAND | ||||
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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.