DOCKSIDE PSYCHIATRY CLINIC PLLC
NPI 1841077062
Nurse Practitioner - Psychiatric/Mental Health in Duvall, WA

Active since September 11, 2023
14524 MAIN ST NE STE 201, DUVALL, WA 98019(206) 210-8989 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, Jul 25, 2024 (2 updates tracked since 2024).

About Dockside Psychiatry Clinic Pllc NPPES

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

DOCKSIDE PSYCHIATRY CLINIC PLLC (NPI 1841077062) is a healthcare organization registered as a psychiatric/mental health in Duvall, Washington and active in the NPI registry since September 2023. The organization lists Natalie Dreyfoos, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1841077062
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDOCKSIDE PSYCHIATRY CLINIC PLLC
Location Address14524 MAIN ST NE STE 201Duvall, WA 98019-8641
Mailing Address19201 Ne Woodinville Duvall RdWoodinville, WA 98077-9482
Organization SubpartNo
Authorized OfficialNatalie DreyfoosPractice Owner · (931) 449-0697
Enumeration DateSeptember 11, 2023
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1841077062 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
14524 MAIN ST NE STE 201, Duvall, WA 98019

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dockside Psychiatry Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dockside Psychiatry Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1528679412
825 EASTLAKE AVE. E.
Seattle, WA 98109
(206) 520-5000
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dockside Psychiatry Clinic PLLC's NPI number?

The NPI number for Dockside Psychiatry Clinic PLLC is 1841077062. It was assigned to this organization in the NPPES registry on September 11, 2023.

Where is Dockside Psychiatry Clinic PLLC located?

Dockside Psychiatry Clinic PLLC is located at 14524 Main St NE Ste 201, Duvall, WA 98019. The listed phone number is (206) 210-8989.

What is Dockside Psychiatry Clinic PLLC's specialty?

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

Is Dockside Psychiatry Clinic PLLC enrolled in Medicare?

Yes. Dockside Psychiatry Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dockside Psychiatry Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dockside Psychiatry Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dockside Psychiatry Clinic PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Dockside Psychiatry Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dockside Psychiatry Clinic PLLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.