Connectionswa, Llc | |
11410 Ne 122nd Way Ste S250 Kirkland WA 98034-6945 | |
(520) 301-2400 | |
Not Available |
Full Name | Connectionswa, Llc |
---|---|
Speciality | Clinic/Center |
Location | 11410 Ne 122nd Way Ste S250, Kirkland, Washington |
Authorized Official Name and Position | Cheryl Boyle (DIRECTOR, CRED) |
Authorized Official Contact | 7376006039 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Connectionswa, Llc 2390 E Camelback Rd Ste 400 Phoenix AZ 85016-3479 Ph: () - | Connectionswa, Llc 11410 Ne 122nd Way Ste S250 Kirkland WA 98034-6945 Ph: (520) 301-2400 |
NPI Number | 1114607140 |
---|---|
Provider Enumeration Date | 07/24/2023 |
Last Update Date | 09/03/2024 |
Certification Date | 09/03/2024 |
Medicare PECOS PAC ID | 9032658687 |
---|---|
Medicare Enrollment ID | O20240827001665 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114607140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Alysse Craft |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447726377 PECOS PAC ID: 8325386048 Enrollment ID: I20220628001960 |
Provider Name | Kyle H Jasper |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649703075 PECOS PAC ID: 5799057410 Enrollment ID: I20231201000312 |
Provider Name | Jessica Hart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982211124 PECOS PAC ID: 9830503796 Enrollment ID: I20240614003504 |
Ioana Diaconu, Md, Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Kirkland Way, 200, Kirkland, WA 98033 Phone: 425-889-5045 | |
Timothy A Rogge, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 Ne 132nd St, Kirkland, WA 98034 Phone: 425-821-2000 | |
Ryan Q Patterson Ma Lmhc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11415 Ne 128th St, Suite 30, Kirkland, WA 98034 Phone: 425-205-9332 Fax: 888-232-6779 | |
Lake Counseling & Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10415 Ne 37th Cir Bldg 4, Kirkland, WA 98033 Phone: 206-590-1331 | |