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DR. BORAY THACH DNP, PMHNP-BC
NPI 1396591822
Nurse Practitioner - Psychiatric/Mental Health in Tacoma, WA

Active since April 25, 2024PECOS Enrolled
3711 PACIFIC AVE, TACOMA, WA 98418(253) 230-6912 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, Apr 25, 2024 (2 updates tracked since 2024).

About Dr. Boray Thach Dnp, Pmhnp-bc NPPES

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

DR. BORAY THACH DNP, PMHNP-BC (NPI 1396591822) is an individual psychiatric/mental health provider in Tacoma, Washington, licensed in Washington (AP70046272) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396591822
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. BORAY THACHCredential: DNP, PMHNP-BC
Location Address3711 PACIFIC AVETacoma, WA 98418-7827
Mailing Address18425 19th Avenue Ct ESpanaway, WA 98387-4159 · (253) 230-6912
Phone(253) 230-6912
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 25, 2024
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1396591822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP70046272
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60882971 (WA)
3711 PACIFIC AVE, Tacoma, WA 98418
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Boray Thach Dnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527564327
PECOS Enrollment IDI20251001001252
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MS. MARY MARGARET WINKLER ARNP
Nurse Practitioner (Psychiatric/Mental Health)
3711 PACIFIC AVE, SUITE 301
TACOMA, WA 98418
Pierce County (253) 475-7333
ANZI DENTAL CENTER 1
Dentist
3711 PACIFIC AVE, STE 300
TACOMA, WA 98418
Pierce County (253) 671-9966
MS. SYLVIA GONZALES LAGDAN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
3711 PACIFIC AVE, SUITE 301
TACOMA, WA 98418
Pierce County (253) 475-7333
CASCADE MENTAL HEALTH PS
Nurse Practitioner (Psychiatric/Mental Health)
3711 PACIFIC AVE, SUITE 301
TACOMA, WA 98418
Pierce County (253) 475-7333
MS. JENNIFER LYNN JEPSEN PHARMD
Pharmacist
3711 PACIFIC AVE, SUITE 301
TACOMA, WA 98418
Pierce County (253) 475-7333
EMERALD CITY ESF II LLC
Psychiatric Residential Treatment Facility
3711 PACIFIC AVE
TACOMA, WA 98418
Pierce County (253) 230-6912
ALL WOMEN'S HEALTH, P.S.
Specialist
3711 PACIFIC AVE, STE. 200
TACOMA, WA 98418
Pierce County (253) 471-3464

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 Boray Thach's NPI number?

The NPI number for Boray Thach is 1396591822. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Boray Thach located?

Boray Thach practices at 3711 Pacific Ave, Tacoma, WA 98418. The listed phone number is (253) 230-6912.

What is Boray Thach's specialty?

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

Is Boray Thach enrolled in Medicare?

Yes. Boray Thach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Boray Thach was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.