NPI 1992652283 · live from the CMS NPI Registry
1:11 Therapeutics PLLC
Psychiatry & Neurology, Psychiatry in Seattle, WA. National Provider Identifier 1992652283, active.
NPI record
| NPI | 1992652283 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 7500 Banner Way Ne, Seattle, WA 98115 |
| Practice phone | 818-515-7991 |
| Mailing address | 212 Rosetti Trce, Peachtree City, GA 30269 |
| Enumerated | March 14, 2026 |
| Last updated | October 22, 2026 |
| Authorized official | Derrick Smith, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.