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

Executive Psychiatry Group PLLC

Organization Psychiatry Physician · NPI 1235986092

Executive Psychiatry Group PLLC is a Psychiatry Physician in Blaine, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2697 Sandwood Ln
Blaine, WA 98230-5736
Phone: (425) 626-2419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1235986092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Tamoria — Owner · (425) 626-2419
NPI enumeratedMay 1, 2024
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address100 N Howard St # 5667, Spokane, WA 99201-0508