Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Domain Psychiatry, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1902779796

Domain Psychiatry, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Seattle, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

819 N 49th St Ste 302
Seattle, WA 98103-6577
Phone: (206) 208-8957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1902779796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Clark — Owner · (206) 208-8957
NPI enumeratedSeptember 26, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing addressPo Box 257, Pmb 11130, Olympia, WA 98507-0257

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