Northwest Pediatric Center is a Psychiatry Clinic in Centralia, Washington. This organization is also known as sub part of N.w. Pediatric Center Inc Ps. It is located at 1911 Cooks Hill Rd, Centralia, WA and its contact number is 360-736-6778. The authorized person for Northwest Pediatric Center is Lisa Gail Mckay
who is Practice Manager of the clinic and his/her contact number is 360-736-6778. The primary license number for Northwest Pediatric Center is MD00029916 (Pediatrics) in Washington. Northwest Pediatric Center Clinic 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 Clinic Profile:
Northwest Pediatric Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Northwest Pediatric Center
Specialization:
Psychiatry
Clinic Address:
1911 Cooks Hill Rd, Centralia, Washington, 98531-9073
Phone:
360-736-6778
Fax:
360-736-6552
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Lisa Gail Mckay
Position:
Practice Manager
Contact Number:
360-736-6778
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 for Northwest Pediatric Center clinic are as mentioned below.
NPI Number:
1518034180
Parent Organization:
N.w. Pediatric Center Inc Ps
NPI Enumeration Date:
29 Nov, 2006
NPI Last Update On:
11 Jun, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northwest Pediatric Center are as mentioned below.
Specialization
License Number
State
Status
Pediatrics
MD00029916
Washington
Primary
Pediatrics
MD00038226
Washington
Secondary
Pediatrics
MD00028578
Washington
Secondary
Pediatrics
MD00027525
Washington
Secondary
Pediatrics
MD00032554
Washington
Secondary
Pediatrics
MD00043677
Washington
Secondary
Child & Adolescent Psychiatry
MD00039351
Washington
Secondary
Pediatrics
AP30006273
Washington
Secondary
Pediatrics
AP30007039
Washington
Secondary
Pediatrics
AP60086265
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1058825
Medicaid
Washington
218107
Other
Washington
Jc Providence Health Plan
2914LO
Other
Washington
Dr Lo Regence
9116SM
Other
Washington
Dana Smith, Arnp Regence
1194SM
Other
Washington
Dana Smith, Arnp Regence
2914CA
Other
Washington
Jennifer Caserta, Md Rege
2914SM
Other
Washington
Dana Smith, Arnp Regence
2915CA
Other
Washington
Jennifer Caserta, Md Rege
8024LO
Other
Washington
Dr Lo Regence
9116CA
Other
Washington
Jennifer Caseta, Md Regen
1914LO
Other
Washington
Dr. Lo Regence
8173882
Medicaid
Washington
212864
Other
Washington
Dana Smith, Arnp Providen
230532008
Other
Washington
Jc Group Health
7057375
Medicaid
Washington
8141947
Medicaid
Washington
1072958
Medicaid
Washington
8251324
Medicaid
Washington
8398356
Medicaid
Washington
9636994
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:
Northwest Pediatric Center 1911 Cooks Hill Rd, Centralia, Washington
Zip:
98531-9073
Phone Number:
360-736-6778
Fax Number:
360-736-6552
Patients can reach Northwest Pediatric Center at 1911 Cooks Hill Rd, Centralia, Washington or can call to book an appointment on 360-736-6778. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.