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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MODERN PSYCHIATRY
NPI 1720972961
Nurse Practitioner - Psychiatric/Mental Health in Kennewick, WA

Active since June 04, 2025
1030 N CENTER PKWY STE 113, KENNEWICK, WA 99336(509) 910-4559(509) 447-7455 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2026, Nov 27, 2025, Sep 16, 2025 and 1 more (4 updates tracked since 2025).

About Modern Psychiatry NPPES

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

MODERN PSYCHIATRY (NPI 1720972961), doing business as Bellevue Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Kennewick, Washington and active in the NPI registry since June 2025. The organization maintains 5 additional practice locations and lists Miguel De La Mora, Owner, as its authorized official.

NPPES Registry Identity

NPI1720972961
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMODERN PSYCHIATRY
Location Address1030 N CENTER PKWY STE 113Kennewick, WA 99336-7160
Mailing Address1030 N Center Pkwy Ste 113Kennewick, WA 99336-7160 · (509) 910-4559 · Fax (509) 447-7455
Phone(509) 910-4559
Fax(509) 447-7455
Organization SubpartNo
Authorized OfficialMiguel De La MoraOwner · (509) 910-4559
Enumeration DateJune 4, 2025
Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1720972961 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
1030 N CENTER PKWY STE 113, Kennewick, WA 99336
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Other Names 1

Doing Business AsBellevue Psychiatry

Secondary Practice Locations 5

Location 11220 Main St Ste 405Vancouver, WA 98660-2960 · Phone (360) 977-7605 · Fax (509) 447-7455
Location 211900 NE 1st St Ste 3049Bellevue, WA 98005-3046 · Phone (425) 600-5227 · Fax (509) 447-7455
Location 31111 W Spruce St Ste 30Yakima, WA 98902-3264 · Phone (509) 910-4559 · Fax (509) 447-7455
Location 411900 NE 1st St Ste 3023Bellevue, WA 98005-3046 · Phone (425) 600-5227 · Fax (509) 447-7455
Location 5650 NE Holladay St Ste 1675Portland, OR 97232-2045 · Phone (503) 832-5105 · Fax (509) 447-7455

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

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

DR. MIGUEL ANGEL DE LA MORA DNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1030 N CENTER PKWY STE 113
KENNEWICK, WA 99336
Benton County (509) 910-4559

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 Modern Psychiatry's NPI number?

The NPI number for Modern Psychiatry is 1720972961. It was assigned to this organization in the NPPES registry on June 4, 2025. The provider is doing business as Bellevue Psychiatry.

Where is Modern Psychiatry located?

Modern Psychiatry is located at 1030 N Center Pkwy Ste 113, Kennewick, WA 99336. The listed phone number is (509) 910-4559.

What is Modern Psychiatry'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 Modern Psychiatry was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.