Magnolia Psychiatry, LLC
NPI 1003346594 · Addiction Psychiatry Physician · Bellevue, WA
Magnolia Psychiatry, LLC is a Addiction Psychiatry Physician organization in Bellevue, WA (NPI 1003346594).
Provider details
- NPI number
- 1003346594
- Entity type
- Organization
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marc Pellicciaro, Psychiatrist(425) 467-1000
- License
- MD00036813 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-15
- Last updated
- 2019-04-17
Frequently asked questions
- What is Magnolia Psychiatry, LLC's NPI number?
- Magnolia Psychiatry, LLC's National Provider Identifier (NPI) is 1003346594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Psychiatry, LLC?
- Magnolia Psychiatry, LLC is classified in the NPPES registry as Addiction Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Magnolia Psychiatry, LLC located?
- Magnolia Psychiatry, LLC's practice location on file with NPPES is 12729 Northup Way Ste 6, Bellevue, WA 98005-1935.
- What is Magnolia Psychiatry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Psychiatry, LLC is (425) 467-1000.
- Who is the authorized official for Magnolia Psychiatry, LLC?
- The authorized official listed on Magnolia Psychiatry, LLC's NPPES record is Marc Pellicciaro, Psychiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Psychiatry, LLC's NPI active?
- Yes — Magnolia Psychiatry, LLC's NPI (1003346594) is active in the NPPES registry as of the last update on 2019-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.