NPI 1639685241 · live from the CMS NPI Registry
Behavioral Health Collaborative
Psychiatry & Neurology, Psychiatry in Seattle, WA. National Provider Identifier 1639685241, active.
NPI record
| NPI | 1639685241 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 10740 Meridian Ave N Ste 107, Seattle, WA 98133 |
| Practice phone | 206-432-9020 |
| Enumerated | December 19, 2017 |
| Last updated | September 12, 2018 |
| Authorized official | James Lolley, Co-Owner |
| Other names | Tuesday Burns; James Lolley |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | PY60345764 (WA) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.