Provider Demographics
NPI:1336209634
Name:PACIFIC NEUROPSYCHIATRIC INSTITUTE
Entity Type:Organization
Organization Name:PACIFIC NEUROPSYCHIATRIC INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEPPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:206-527-6289
Mailing Address - Street 1:6300 9TH AVENUE NE
Mailing Address - Street 2:SUITE 353
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-8516
Mailing Address - Country:US
Mailing Address - Phone:206-527-6289
Mailing Address - Fax:206-892-9689
Practice Address - Street 1:6300 9TH AVENUE NE
Practice Address - Street 2:SUITE 353
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8516
Practice Address - Country:US
Practice Address - Phone:206-527-6289
Practice Address - Fax:206-892-9689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-10
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0235112084F0202X, 2084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic PsychiatryGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA23511OtherWA LICENSE