Healthcare Provider Details

I. General information

NPI: 1184541740
Provider Name (Legal Business Name): DANIEL GIOVINAZZO MD PHD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3516 FREMONT PL N STE E
SEATTLE WA
98103-8961
US

IV. Provider business mailing address

3516 FREMONT PL N STE E
SEATTLE WA
98103-8961
US

V. Phone/Fax

Practice location:
  • Phone: 360-859-9775
  • Fax: 360-783-7362
Mailing address:
  • Phone: 360-859-9775
  • Fax: 360-783-7362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL GIOVINAZZO
Title or Position: PSYCHIATRIST
Credential: MD, PHD
Phone: 305-613-0962