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.

OrganizationActive

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)

Practice location

12729 Northup Way Ste 6

Bellevue, WA 98005-1935

Phone: (425) 467-1000

Fax: (425) 467-0100

Street-level locationGet directions

More WA providers

Mailing address

Po Box 7239

Bellevue, WA 98008-1239

Specialties & taxonomies

Addiction Psychiatry PhysicianPrimary2084P0802XLicense MD00036813 (WA)
Allopathic & Osteopathic Physicians

Profile Score

Established profile(70/100 index)

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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions