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SOUTHLAKE PSYCHIATRIC CENTER
NPI 1871651042
Psychiatry & Neurology - Child & Adolescent Psychiatry in Renton, WA

Active since December 04, 2006
1400 TALBOT RD S, SUITE 203, RENTON, WA 98055(425) 235-7383(425) 228-2169 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southlake Psychiatric Center NPPES

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

SOUTHLAKE PSYCHIATRIC CENTER (NPI 1871651042) is a healthcare organization registered as a child & adolescent psychiatry in Renton, Washington and active in the NPI registry since December 2006. The organization lists John Edward Dunne, Owner, as its authorized official.

NPPES Registry Identity

NPI1871651042
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameSOUTHLAKE PSYCHIATRIC CENTER
Location Address1400 TALBOT RD S, SUITE 203Renton, WA 98055-4291
Mailing Address1400 Talbot Rd S, Suite 203Renton, WA 98055-4291 · (425) 235-7383 · Fax (425) 228-2169
Phone(425) 235-7383
Fax(425) 228-2169
Organization SubpartNo
Authorized OfficialJohn Edward DunneOwner · (425) 235-7383
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871651042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in WA · 14418
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1400 TALBOT RD S, Renton, WA 98055
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Other Identifiers 2

Other0191845WA · L & I
Medicaid1228600WA

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

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 Southlake Psychiatric Center's NPI number?

The NPI number for Southlake Psychiatric Center is 1871651042. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Southlake Psychiatric Center located?

Southlake Psychiatric Center is located at 1400 Talbot Rd S Suite 203, Renton, WA 98055. The listed phone number is (425) 235-7383.

What is Southlake Psychiatric Center's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Southlake Psychiatric Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.