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WESTERN WASHINGTON MEDICAL GROUP, INC PS
NPI 1396413803
Psychiatry & Neurology - Psychiatry in Everett, WA

Active since August 31, 2021
12728 19TH AVE SE STE 300, EVERETT, WA 98208(425) 252-1116 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Western Washington Medical Group, Inc Ps NPPES

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

WESTERN WASHINGTON MEDICAL GROUP, INC PS (NPI 1396413803), doing business as Wwmg Department Of Psychiatry, is a healthcare organization registered as a psychiatry in Everett, Washington and active in the NPI registry since August 2021. The organization lists Kimberly Holstein, Director Corporate Compliance, as its authorized official.

NPPES Registry Identity

NPI1396413803
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP, INC PS
Location Address12728 19TH AVE SE STE 300Everett, WA 98208-6526
Mailing Address1728 W Marine View Dr Ste 110Everett, WA 98201-2094 · (425) 259-4041 · Fax (425) 252-6642
Phone(425) 252-1116
Organization SubpartNo
Authorized OfficialKimberly HolsteinDirector Corporate Compliance · (425) 259-4041
Enumeration DateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1396413803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
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.
12728 19TH AVE SE STE 300, Everett, WA 98208
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Other Names 1

Doing Business AsWwmg Department Of Psychiatry

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YA-LAN HUANG MD
Internal Medicine (Nephrology)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 252-6801
DR. SHIRIN KHAN SCHILLING MD
Psychiatry & Neurology (Psychiatry)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 252-1116
DR. PHILLIP KENNETH GREGOIRE MD
Internal Medicine (Critical Care Medicine)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 791-3084
MRS. TRACEY TRINH ARNP
Nurse Practitioner (Family)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 317-8025
DR. DINA VICTOROVNA SHEPELYUK DNP, FNP-BC
Nurse Practitioner (Family)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 317-8025
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Internal Medicine (Nephrology)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 258-6801
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Internal Medicine (Infectious Disease)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 252-1116
RAFAEL C WABL MD
Psychiatry & Neurology (Neurocritical Care)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 252-1116

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 Western Washington Medical Group, Inc Ps's NPI number?

The NPI number for Western Washington Medical Group, Inc Ps is 1396413803. It was assigned to this organization in the NPPES registry on August 31, 2021. The provider is doing business as WWMG Department of Psychiatry.

Where is Western Washington Medical Group, Inc Ps located?

Western Washington Medical Group, Inc Ps is located at 12728 19th Ave SE Ste 300, Everett, WA 98208. The listed phone number is (425) 252-1116.

What is Western Washington Medical Group, Inc 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 Western Washington Medical Group, Inc Ps was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.