Provider Demographics
NPI:1578226254
Name:COMPASSIONATE PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:COMPASSIONATE PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:TILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, MN
Authorized Official - Phone:781-801-4521
Mailing Address - Street 1:5231 BRASSFIELD DR SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-4709
Mailing Address - Country:US
Mailing Address - Phone:781-801-4521
Mailing Address - Fax:
Practice Address - Street 1:5231 BRASSFIELD DR SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-4709
Practice Address - Country:US
Practice Address - Phone:781-801-4521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP60451844OtherLICENSE
1023432655OtherPROVIDER NPI