Healthcare Provider Details

I. General information

NPI: 1215852827
Provider Name (Legal Business Name): CEDAR SOUND PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 11TH ST UNIT 203
BELLINGHAM WA
98225
US

IV. Provider business mailing address

336 36TH ST # 172
BELLINGHAM WA
98225-6580
US

V. Phone/Fax

Practice location:
  • Phone: 847-975-3768
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER CHRISTIANSEN
Title or Position: OWNER
Credential: DNP, ARNP, PMHNP-BC
Phone: 847-975-3768