Pspc is a Counselor Clinic in Bothell, Washington. It is located at 10634 E Riverside Dr, Suite 130, Bothell, WA and its contact number is 425-806-5021. The authorized person for Pspc is Dr. Syed Jamal Mustafa
who is Medical Director of the clinic and his/her contact number is 425-806-5021. The primary license number for Pspc is MD00034219 (Psychiatry) in Washington. Pspc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Pspc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pspc
Specialization:
Mental Health Counselor
Clinic Address:
10634 E Riverside Dr, Suite 130, Bothell, Washington, 98011-3757
Phone:
425-806-5021
Fax:
425-486-3949
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:
Dr. Syed Jamal Mustafa
Position:
Medical Director
Contact Number:
425-806-5021
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 Pspc clinic are as mentioned below.
NPI Number:
1114254729
NPI Enumeration Date:
03 Nov, 2009
NPI Last Update On:
23 Jan, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pspc are as mentioned below.
Specialization
License Number
State
Status
Psychiatry
MD00034219
Washington
Primary
Mental Health
Secondary
Clinical
Secondary
Clinical
Secondary
Marriage & Family Therapist
Secondary
Psychiatry
Secondary
Child & Adolescent Psychiatry
Secondary
Physician Assistant
Secondary
Psych/Mental Health
Secondary
Psych/Mental Health
Secondary
Student In An Organized Health Care Education/training Program
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
1112333
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:
Pspc 10634 E Riverside Dr, Suite 130 Bothell, Washington
Zip:
98011-3758
Phone Number:
425-806-5021
Fax Number:
425-486-3949
Patients can reach Pspc at 10634 E Riverside Dr, Suite 130, Bothell, Washington or can call to book an appointment on 425-806-5021. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.