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DOMAIN PSYCHIATRY, PLLC
NPI 1902779796
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Active since September 26, 2025
819 N 49TH ST STE 302, SEATTLE, WA 98103(206) 208-8957 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Domain Psychiatry, Pllc NPPES

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

DOMAIN PSYCHIATRY, PLLC (NPI 1902779796) is a healthcare organization registered as a psychiatric/mental health in Seattle, Washington and active in the NPI registry since September 2025. The organization lists Matthew Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1902779796
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDOMAIN PSYCHIATRY, PLLC
Location Address819 N 49TH ST STE 302Seattle, WA 98103-6577
Mailing AddressPo Box 257, Pmb 11130Olympia, WA 98507-0257 · (206) 208-8957
Phone(206) 208-8957
Organization SubpartNo
Authorized OfficialMatthew ClarkOwner · (206) 208-8957
Enumeration DateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1902779796 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
819 N 49TH ST STE 302, Seattle, WA 98103
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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

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 Domain Psychiatry, PLLC's NPI number?

The NPI number for Domain Psychiatry, PLLC is 1902779796. It was assigned to this organization in the NPPES registry on September 26, 2025.

Where is Domain Psychiatry, PLLC located?

Domain Psychiatry, PLLC is located at 819 N 49th St Ste 302, Seattle, WA 98103. The listed phone number is (206) 208-8957.

What is Domain Psychiatry, PLLC'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 Domain Psychiatry, PLLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.