FAIRFAX PHYSICIAN GROUP
NPI 1104959097
Psychiatry & Neurology - Psychiatry in Kirkland, WA

NPI Status: Active since March 13, 2007

Contact Information

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034
Phone: (425) 821-2000

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About FAIRFAX PHYSICIAN GROUP

This page provides the complete NPI Profile along with additional information for Fairfax Physician Group, a provider established in Kirkland, Washington operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1104959097 assigned on March 2007. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Fairfax Physician Group. The authorized official of this NPI record is Peggy Trachte (Business Office Director)

NPI
1104959097
Provider Legal Name
BHC FAIRFAX HOSPITAL INC.
Other Organization Name
FAIRFAX PHYSICIAN GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10200 NE 132ND ST KIRKLAND, WA 98034
Location Phone
(425) 821-2000
Mailing Address
10200 NE 132ND ST KIRKLAND, WA 98034
Mailing Phone
(425) 821-2000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2007
Last Update Date
12-12-2011
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A psychiatrist like Fairfax Physician Group are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PEGGY TRACHTE

Authorized Official Title
BUSINESS OFFICE DIRECTOR
Authorized Official Phone
(425) 284-1708

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7159908MEDICAID (05)WA 
7104326MEDICAID (05)WA 
AB20892MEDICARE ID-TYPE UNSPECIFIED (04)WA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104959097
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210418518018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 5 + 1 + 8 + 0 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1104959097 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

BHC FAIRFAX HOSPITAL INC

Psychiatric Hospital

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

WILLIAM ADAMS MD

Psychiatry & Neurology

(Psychiatry)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

BRUCE DAVIN LARSON MD

Psychiatry & Neurology

(Psychiatry)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

RHONDA K GARRISON ARNP

Nurse Practitioner

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

MS. CAROL JEAN MACAULAY B.C.C.

Counselor

(Mental Health)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

TIMOTHY A ROGGE, MD, PC

Psychiatry & Neurology

(Psychiatry)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

MS. RIE TSUEI TAKEUCHI MSW, LICSW

Social Worker

(Clinical)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

DR. JUAN ANTONIO AVILA M.D.

Psychiatry & Neurology

(Psychiatry)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(504) 236-8154

STEPHEN JON BITTNER MD

Psychiatry & Neurology

(Psychiatry)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

DR. NABILLA SHIRAZ PORBANDARWALLA M.D.

Psychiatry & Neurology

(Psychiatry)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

DR. MURTUZA M VALI M.D.

Psychiatry & Neurology

(Psychiatry)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

TAISIA ALEXANDRA JIGNEA ARNP

Nurse Practitioner

(Primary Care)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

DR. ARVINDER KAUL MD

Psychiatry & Neurology

(Psychiatry)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

DR. DREW WILLIAM CALHOUN M.D.

Psychiatry & Neurology

(Psychiatry)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(800) 435-7221

MR. RANDOL BROWN ARNP

Nurse Practitioner

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(859) 302-0110

WIOLETA ELZBIETA BONGIORNO ARNP, PMHNP

Nurse Practitioner

(Psychiatric/Mental Health)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

CORBI GRIFFITH LMHC

Counselor

(Mental Health)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

MARIO MATA

Nurse Practitioner

(Adult Health)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

ZACHARY DOUGLAS SCHMELZER AAC

Counselor

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(425) 821-2000

FRED WILLIAM SCHWARTZ LMHC

Counselor

(Mental Health)

10200 NE 132ND ST
KIRKLAND, WA
ZIP 98034

(485) 821-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104959097, enumerated as an "organization" on March 13, 2007.

The provider is located at 10200 NE 132ND ST KIRKLAND, WA 98034 and the phone number is (425) 821-2000.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.