MIDWEST MENTAL HEALTH CLINIC PLLC
NPI 1184338824
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Q: What is Midwest Mental Health Clinic PLLC's NPI number?

The NPI number for Midwest Mental Health Clinic PLLC is 1184338824. It was assigned to this organization in the NPPES registry on January 9, 2023. The provider is doing business as Grey Matters Mental Health Clinic.

Q: What is Midwest Mental Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since January 09, 2023

5306 BALLARD AVE NW STE 208, SEATTLE, WA 98107(206) 607-9205 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Midwest Mental Health Clinic Pllc NPPES

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

MIDWEST MENTAL HEALTH CLINIC PLLC (NPI 1184338824), doing business as Grey Matters Mental Health Clinic, is a healthcare organization registered as a psychiatric/mental health in Seattle, Washington and active in the NPI registry since January 2023. The organization lists Jacqualine Kay Gervais, Owner, as its authorized official.

NPPES Registry Identity

NPI1184338824

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMIDWEST MENTAL HEALTH CLINIC PLLC

Location Address5306 BALLARD AVE NW STE 208Seattle, WA 98107-4366

Mailing Address819 30th Ave S Ste 206Moorhead, MN 56560-5054 · (218) 477-1353

Phone(206) 607-9205

Organization SubpartYes

Authorized OfficialJacqualine Kay GervaisOwner · (701) 371-9769

Enumeration DateJanuary 9, 2023

NPPES CertifiedJanuary 8, 2023

✔ NPI 1184338824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

5306 BALLARD AVE NW STE 208, Seattle, WA 98107

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Other Names 1

Doing Business AsGrey Matters Mental Health Clinic

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 Midwest Mental Health Clinic PLLC's NPI number?

The NPI number for Midwest Mental Health Clinic PLLC is 1184338824. It was assigned to this organization in the NPPES registry on January 9, 2023. The provider is doing business as Grey Matters Mental Health Clinic.

Where is Midwest Mental Health Clinic PLLC located?

Midwest Mental Health Clinic PLLC is located at 5306 Ballard Ave NW Ste 208, Seattle, WA 98107. The listed phone number is (206) 607-9205.

What is Midwest Mental Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Midwest Mental Health Clinic PLLC was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.