Provider Demographics
| NPI: | 1780180885 |
|---|---|
| Name: | STEINBERG, AMY EMILY (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | AMY |
| Middle Name: | EMILY |
| Last Name: | STEINBERG |
| Suffix: | |
| Gender: | F |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | PO BOX 25608 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SALT LAKE CITY |
| Mailing Address - State: | UT |
| Mailing Address - Zip Code: | 84125-0608 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 206-320-4476 |
| Mailing Address - Fax: | 206-568-7043 |
| Practice Address - Street 1: | 550 17TH AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | SEATTLE |
| Practice Address - State: | WA |
| Practice Address - Zip Code: | 98122-5788 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 206-320-2800 |
| Practice Address - Fax: | 206-320-2827 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2018-04-05 |
| Last Update Date: | 2025-06-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| WA | MD61316863 | 2084N0400X |
| 390200000X | ||
| TX | U5036 | 2084N0400X |
| OH | 35C.001532 | 2084N0400X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
| No | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| WA | 2103194 | Medicaid |