1609072230 NPI number — MS. JOAN ELYSE SCHIFF MA

Table of content: MS. JOAN ELYSE SCHIFF MA (NPI 1609072230)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609072230 NPI number — MS. JOAN ELYSE SCHIFF MA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHIFF
Provider First Name:
JOAN
Provider Middle Name:
ELYSE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHIFF
Provider Other First Name:
JOAN
Provider Other Middle Name:
ELYSE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMHC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1609072230
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/18/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
JOAN ELYSE SCHIFF MA
Provider Second Line Business Mailing Address:
P.O. BOX 55172
Provider Business Mailing Address City Name:
SHORELINE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98155
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-523-5028
Provider Business Mailing Address Fax Number:
206-985-7201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
JOAN ELYSE SCHIFF MA
Provider Second Line Business Practice Location Address:
1160 N 192ND ST #3-601
Provider Business Practice Location Address City Name:
SHORELING
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-629-4195
Provider Business Practice Location Address Fax Number:
206-985-7201
Provider Enumeration Date:
06/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LH00005353 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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