OrganizationActive
Integrative Psychiatry Services PLLC
NPI 1669195202 · Mental Health Clinic/Center (Including Community Mental Health Center) · Seattle, WA
Provider details
- NPI number
- 1669195202
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Etienne Poufong, Pmhnp(469) 321-9543
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone: (469) 321-9543
Fax: (682) 227-2030
Street-level locationGet directions
Mailing address
708 Clement Dr
Cedar Hill, TX 75104-7352
Other names (DBA / former)
- Former legal business name
- Intellect Psychiatry Services PLLC
Registry dates
- Enumerated
- 2022-09-20
- Last updated
- 2026-05-03
- Certified
- 2026-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.