Thomas Modad Soeprono
M.D. | Psychiatry | 16+ years Exp
1959 Ne Pacific St, Box 356560, Seattle
Washington, 98195-0001
206-598-6195 Maps & DirectionsThomas Modad Soeprono is a Seattle, Washington based psychiatrist with 16 years of experience in Psychiatry. He completed his graduation from Loma Linda University School Of Medicine in 2010. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Thomas Modad Soeprono is MD60475121 for Psychiatry in Washington. His current practice location is 1959 Ne Pacific St, Box 356560, Seattle. Patients can reach him at 206-598-6195. Thomas Modad Soeprono is M.D. in Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1245559467.
Thomas Modad Soeprono specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Profile:
Thomas Modad Soeprono speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Thomas Modad Soeprono |
| Specialization: | Psychiatry |
| Gender: | Male |
| Credentials: | M.D. |
| Experience: | 16+ years |
| Medical School Attended: | Loma Linda University School Of Medicine |
| Graduation Year: | 2010 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1959 Ne Pacific St, Box 356560, Seattle,
Washington, 98195-0001 |
| Phone: | 206-598-6195 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3971814849 |
| Enrollment ID: | I20150618001234 |
| NPI Number: | 1245559467 |
| NPI Enumeration Date: | 27 May, 2010 |
| NPI Last Update On: | 13 Aug, 2015 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas Modad Soeprono are as mentioned below.
| License Number | Specialization | State | Status | |
| MD60475121 | Psychiatry | Washington | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (500008) | Seattle, WA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Thomas Modad Soeprono is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Association Of University Physicians (0446162697) | 2757 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Thomas Modad Soeprono such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1245559467 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Thomas Modad Soeprono
Po Box 50095,
Seattle, Washington |
| Zip: | 98145-5095 |
| Phone Number: | 206-520-5700 |
Patients can reach Thomas Modad Soeprono at
1959 Ne Pacific St, Box 356560, Seattle, Washington or can
call to book an appointment on 206-598-6195.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.