Provider Demographics
NPI:1114214897
Name:PSYCHIATRIC MEDICINE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:PSYCHIATRIC MEDICINE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROY-BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-386-3103
Mailing Address - Street 1:1505 WESTLAKE AVE N STE 920
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-6240
Mailing Address - Country:US
Mailing Address - Phone:206-386-3103
Mailing Address - Fax:206-386-3123
Practice Address - Street 1:1505 WESTLAKE AVE N STE 920
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-6240
Practice Address - Country:US
Practice Address - Phone:206-386-3103
Practice Address - Fax:206-386-3123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-01
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000238382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty