NPI 1700869419 · live from the CMS NPI Registry
Jaime Y Basnillo, MD
Psychiatry & Neurology, Psychiatry in Medical Lake, WA. National Provider Identifier 1700869419, active.
NPI record
| NPI | 1700869419 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 800 West Maple Street, Medical Lake, WA 99022 |
| Practice phone | 509-299-3121 |
| Mailing address | 800 West Maple Street, P O Box 800, Medical Lake, WA 99022 |
| Enumerated | November 28, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | MD00022233 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.