Healthcare Provider Details

I. General information

NPI: 1598445397
Provider Name (Legal Business Name): COGNIA HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 NW LEARY WAY STE 400
SEATTLE WA
98107-5138
US

IV. Provider business mailing address

522 W RIVERSIDE AVE STE 8072
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 206-350-9411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MATIAS MASSARO
Title or Position: FOUNDER/CLINICAL DIRECTOR
Credential:
Phone: 206-350-9411