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 13 May, 2024.