| Revolution Psychiatric & Addiction Treatment | |
|
2737 78th Ave Se Ste 100 Mercer Island WA 98040-2843 | |
| (425) 652-4812 | |
| (425) 364-4966 |
| Full Name | Revolution Psychiatric & Addiction Treatment |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2737 78th Ave Se Ste 100, Mercer Island, Washington |
| Authorized Official Name and Position | Richard Eduardo Repass (OWNER) |
| Authorized Official Contact | 4256524812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Psychiatric & Addiction Treatment Po Box 1775 Mercer Island WA 98040-1775 Ph: (425) 652-4812 | Revolution Psychiatric & Addiction Treatment 2737 78th Ave Se Ste 100 Mercer Island WA 98040-2843 Ph: (425) 652-4812 |
| NPI Number | 1841734035 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Medicare PECOS PAC ID | 4284977927 |
|---|---|
| Medicare Enrollment ID | O20190520002444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841734035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Richard Repass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316085855 PECOS PAC ID: 7719058270 Enrollment ID: I20190626000985 |
Northwest Speech Therapy / Spotlight Social Skills Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8015 Se 28th St Ste 309, Mercer Island, WA 98040 Phone: 206-236-1294 Fax: 206-257-3196 | |
Tranquility Center For Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2758 78th Ave Se Apt 412, Mercer Island, WA 98040 Phone: 206-867-5005 | |
Mercer Island Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2448 76th Ave Se Ste 201, Mercer Island, WA 98040 Phone: 310-709-2056 | |
Kevin L Sloan, Md, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8015 Se 28th St, Suite 218, Mercer Island, WA 98040 Phone: 206-375-2774 | |
Roland I Barach Phd Ps Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8015 Se 28th St, #201, Mercer Island, WA 98040 Phone: 206-439-1762 | |
Kim Lampson Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9725 Se 36th St Ste 301, Mercer Island, WA 98040 Phone: 206-713-3919 Fax: 206-232-8428 | |
The Northwest Pinnacle Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8015 Se 28th St, Ste 309, Mercer Island, WA 98040 Phone: 206-236-1294 Fax: 630-604-9955 |