Provider Demographics
NPI:1063035624
Name:DINA E MCNEIL ARNP PLLC MERCER ISLAND INTEGRATIVE BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:DINA E MCNEIL ARNP PLLC MERCER ISLAND INTEGRATIVE BEHAVIORAL HEALTH
Other - Org Name:DINA E. MCNEIL, ARNP, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PMHNP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:407-756-6841
Mailing Address - Street 1:2758 78TH AVE SE APT C312
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3598
Mailing Address - Country:US
Mailing Address - Phone:206-237-5315
Mailing Address - Fax:
Practice Address - Street 1:3035 ISLAND CREST WAY STE 110
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2919
Practice Address - Country:US
Practice Address - Phone:206-237-5315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty