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BONNEY LAKE PSYCHIATRY LLC
NPI 1467313858
Nurse Practitioner - Psychiatric/Mental Health in Bothell, WA

Active since November 24, 2025
10634 E RIVERSIDE DR STE 130, BOTHELL, WA 98011(503) 512-0840 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonney Lake Psychiatry Llc NPPES

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

BONNEY LAKE PSYCHIATRY LLC (NPI 1467313858) is a healthcare organization registered as a psychiatric/mental health in Bothell, Washington and active in the NPI registry since November 2025. The organization lists Jessica Norman, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1467313858
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBONNEY LAKE PSYCHIATRY LLC
Location Address10634 E RIVERSIDE DR STE 130Bothell, WA 98011-3758
Mailing Address100 N Howard St Ste RSpokane, WA 99201-0508
Phone(503) 512-0840
Organization SubpartNo
Authorized OfficialJessica NormanPsychiatric Nurse Practitioner · (808) 209-1455
Enumeration DateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
✔ NPI 1467313858 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
10634 E RIVERSIDE DR STE 130, Bothell, WA 98011
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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 12

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

ALIYA ZAFER MD
Psychiatry & Neurology (Psychiatry)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
King County (425) 806-5021
CESARIO LARIOS MA, LMHC-A
Counselor (Mental Health)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
King County (425) 806-5021
ANGELS PSYCHIATRY PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
King County (425) 229-8338
MS. KRISTIN A. HUMMEL M.A.
Counselor (Mental Health)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
King County (425) 806-5021
TONI HUGHES LICSW
Social Worker (Clinical)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
King County (910) 599-1764
SIDRA SHARIF MIAN COUNSELOR
Counselor
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
King County (425) 806-5021
MR. SAM MATHEW ARNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
King County (425) 677-4613
PACIFIC MEDICAL EVALUATIONS AND TREATMENT SERVICES, PLLC
Counselor (Mental Health)
10634 E RIVERSIDE DR STE 130
BOTHELL, WA 98011
King County (425) 806-5021

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 Bonney Lake Psychiatry LLC's NPI number?

The NPI number for Bonney Lake Psychiatry LLC is 1467313858. It was assigned to this organization in the NPPES registry on November 24, 2025.

Where is Bonney Lake Psychiatry LLC located?

Bonney Lake Psychiatry LLC is located at 10634 E Riverside Dr Ste 130, Bothell, WA 98011. The listed phone number is (503) 512-0840.

What is Bonney Lake Psychiatry LLC'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 Bonney Lake Psychiatry LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.