Healthcare Provider Details

I. General information

NPI: 1821913914
Provider Name (Legal Business Name): SUNBREAK PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 PARFITT WAY SW STE S150
BAINBRIDGE ISLAND WA
98110-4911
US

IV. Provider business mailing address

175 PARFITT WAY SW STE S150
BAINBRIDGE ISLAND WA
98110-4911
US

V. Phone/Fax

Practice location:
  • Phone: 206-855-5677
  • Fax:
Mailing address:
  • Phone: 206-855-5677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHEAL JACE TARVER
Title or Position: OWNER/PSYCHIATRIST
Credential: MD
Phone: 206-855-5677