PSPC
NPI 1114254729
Psychiatry & Neurology - Psychiatry in Bothell, WA

Active since November 03, 2009
10634 E RIVERSIDE DR, SUITE 130, BOTHELL, WA 98011(425) 806-5021(425) 486-3949 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pspc NPPES

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

PSPC (NPI 1114254729) is a healthcare organization registered as a psychiatry in Bothell, Washington and active in the NPI registry since November 2009. The organization lists Syed Jamal Mustafa, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1114254729
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePUGET SOUND PSYCHIATRIC CENTER, PS
Location Address10634 E RIVERSIDE DR, SUITE 130Bothell, WA 98011-3757
Mailing Address10634 E Riverside Dr, Suite 130Bothell, WA 98011-3758 · (425) 806-5021 · Fax (425) 486-3949
Fax(425) 486-3949
Organization SubpartNo
Authorized OfficialSyed Jamal MustafaMedical Director · (425) 806-5021
Enumeration DateNovember 3, 2009
Last NPPES UpdateJanuary 23, 2012
✔ NPI 1114254729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WA · MD00034219
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
10634 E RIVERSIDE DR, Bothell, WA 98011

Other Names 1

Doing Business AsPspc

Other Identifiers 2

Medicaid1112333WA
Medicare PING8866788WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pspc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Pspc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Psychiatry
NPI 1316954894
10634 E RIVERSIDE DR STE 110
Bothell, WA 98011
(425) 806-5021
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1609883180
10634 E RIVERSIDE DR STE 130
Bothell, WA 98011
(425) 806-5021
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1548677719
2105 112TH AVE NE STE 200
Bellevue, WA 98004
(425) 598-6653
✔ PECOS✔ Accepts Medicare8.7 mi
Psychiatry
NPI 1245337120
301 116TH AVE SE SUITE 105
Bellevue, WA 98004
(425) 454-1919
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1205200201
1210 SW 136TH ST
Burien, WA 98166
(206) 257-6600
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1154641868
124 4TH AVE S STE 230
Kent, WA 98032
(206) 721-0243
✔ PECOS26 mi
Clinical Psychologist
NPI 1811993983
3304 SHEPHERD HILLS DR
Bloomington, MN 55431
(952) 835-0372
✔ PECOS✔ Accepts Medicare1,389 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Puget Sound Psychiatric Center, Ps's NPI number?

The NPI number for Puget Sound Psychiatric Center, Ps is 1114254729. It was assigned to this organization in the NPPES registry on November 3, 2009. The provider is doing business as Pspc.

Where is Puget Sound Psychiatric Center, Ps located?

Puget Sound Psychiatric Center, Ps is located at 10634 E Riverside Dr Suite 130, Bothell, WA 98011. The listed phone number is (425) 806-5021.

What is Puget Sound Psychiatric Center, Ps's specialty?

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

Is Puget Sound Psychiatric Center, Ps enrolled in Medicare?

Yes. Puget Sound Psychiatric Center, Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Puget Sound Psychiatric Center, Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Puget Sound Psychiatric Center, Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (4), Nurse Practitioner (2) and Clinical Psychologist (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Puget Sound Psychiatric Center, Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Puget Sound Psychiatric Center, Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Puget Sound Psychiatric Center, Ps was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.