Western Washington Medical Group, Inc Ps
NPI 1396413803 · Psychiatry Physician · Everett, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Western Washington Medical Group, Inc Ps is a Psychiatry Physician organization in Everett, WA (NPI 1396413803).
Provider details
- NPI number
- 1396413803
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Holstein, Director Corporate Compliance(425) 259-4041
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
4 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
Other names (DBA / former)
- Doing business as
- Wwmg Department of Psychiatry
Registry dates
- Enumerated
- 2021-08-31
- Last updated
- 2021-08-31
- Certified
- 2021-08-31
Frequently asked questions
- What is Western Washington Medical Group, Inc Ps's NPI number?
- Western Washington Medical Group, Inc Ps's National Provider Identifier (NPI) is 1396413803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Western Washington Medical Group, Inc Ps?
- Western Washington Medical Group, Inc Ps is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Western Washington Medical Group, Inc Ps located?
- Western Washington Medical Group, Inc Ps's practice location on file with NPPES is 12728 19th Ave Se Ste 300, Everett, WA 98208-6526.
- What is Western Washington Medical Group, Inc Ps's phone number?
- The practice phone number listed in the NPPES registry for Western Washington Medical Group, Inc Ps is (425) 252-1116.
- Does Western Washington Medical Group, Inc Ps accept Medicare?
- Western Washington Medical Group, Inc Ps is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Western Washington Medical Group, Inc Ps?
- The authorized official listed on Western Washington Medical Group, Inc Ps's NPPES record is Kimberly Holstein, Director Corporate Compliance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Western Washington Medical Group, Inc Ps's NPI active?
- Yes — Western Washington Medical Group, Inc Ps's NPI (1396413803) is active in the NPPES registry as of the last update on 2021-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.