Provider Demographics
NPI:1689218075
Name:ALSEPT PSYCHIATRIC
Entity Type:Organization
Organization Name:ALSEPT PSYCHIATRIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:ALSEPT
Authorized Official - Last Name:ALSEPT
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:206-240-5584
Mailing Address - Street 1:3436 NE 45TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-5645
Mailing Address - Country:US
Mailing Address - Phone:206-240-5584
Mailing Address - Fax:866-453-0617
Practice Address - Street 1:3436 NE 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-5645
Practice Address - Country:US
Practice Address - Phone:206-240-5584
Practice Address - Fax:866-453-0617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)