Healthcare Provider Details

I. General information

NPI: 1275358202
Provider Name (Legal Business Name): ASTUTE BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 11/15/2024
Certification Date: 11/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19125 N CREEK PKWY STE 120
BOTHELL WA
98011-8000
US

IV. Provider business mailing address

19125 N CREEK PKWY STE 120
BOTHELL WA
98011-8000
US

V. Phone/Fax

Practice location:
  • Phone: 360-800-9400
  • Fax:
Mailing address:
  • Phone: 360-800-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROCHELLE CALINA ANTOINETTE RICKMAN
Title or Position: PSYCHIATRIC PROVIDER
Credential: PMHNP
Phone: 360-982-8140