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OTIS EDD PAYNE, M.D.,PS
NPI 1073705166
Psychiatry & Neurology - Psychiatry in Lake Forest Park, WA

Active since August 13, 2007
18015 53RD AVE NE, LAKE FOREST PARK, WA 98155(206) 427-2171(425) 670-8293 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Otis Edd Payne, M.d.,ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTIS EDD PAYNE, M.D.,PS (NPI 1073705166) is a healthcare organization registered as a psychiatry in Lake Forest Park, Washington and active in the NPI registry since August 2007. The organization lists Otis Edd Payne, President, as its authorized official.

NPPES Registry Identity

NPI1073705166
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameOTIS EDD PAYNE, M.D.,PS
Location Address18015 53RD AVE NELake Forest Park, WA 98155-4361
Mailing Address18015 53rd Ave NeLake Forest Park, WA 98155-4361 · (206) 427-2171 · Fax (425) 670-8293
Phone(206) 427-2171
Fax(425) 670-8293
Organization SubpartNo
Authorized OfficialOtis Edd PaynePresident · (206) 427-2171
Enumeration DateAugust 13, 2007
✔ NPI 1073705166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WA · MD00010587
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
18015 53RD AVE NE, Lake Forest Park, WA 98155
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Other Identifiers 2

Medicaid1199009WA
OtherG8801577WA · Medicare Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otis Edd Payne, M.D.,ps's NPI number?

The NPI number for Otis Edd Payne, M.D.,ps is 1073705166. It was assigned to this organization in the NPPES registry on August 13, 2007.

Where is Otis Edd Payne, M.D.,ps located?

Otis Edd Payne, M.D.,ps is located at 18015 53rd Ave NE, Lake Forest Park, WA 98155. The listed phone number is (206) 427-2171.

What is Otis Edd Payne, M.D.,ps's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Otis Edd Payne, M.D.,ps was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.