Provider Demographics
NPI:1609036490
Name:SEATTLE NEUROPSYCHIATRIC TREATMENT CENTER, PLLC
Entity Type:Organization
Organization Name:SEATTLE NEUROPSYCHIATRIC TREATMENT CENTER, PLLC
Other - Org Name:SEATTLE CLINICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:NEWPORT
Authorized Official - Last Name:MELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-467-6300
Mailing Address - Street 1:805 MADISON ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:206-467-6300
Mailing Address - Fax:206-467-6301
Practice Address - Street 1:805 MADISON ST
Practice Address - Street 2:SUITE 401
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1172
Practice Address - Country:US
Practice Address - Phone:206-467-6300
Practice Address - Fax:206-467-6301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-15
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000186922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty