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

Modern Psychiatry

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1720972961

Modern Psychiatry is a Psychiatric/Mental Health Nurse Practitioner in Kennewick, Washington. Works from 5 locations. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

1030 N Center Pkwy Ste 113
Kennewick, WA 99336-7160
Phone: (509) 910-4559
Fax: (509) 447-7455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 650 Ne Holladay St Ste 1675, Portland, OR 97232-2045 — (503) 832-5105
  • 11900 Ne 1st St Ste 3023, Bellevue, WA 98005-3046 — (425) 600-5227
  • 1220 Main St Ste 405, Vancouver, WA 98660-2960 — (360) 977-7605
  • 1111 W Spruce St Ste 30, Yakima, WA 98902-3264 — (509) 910-4559

Specialties & licences

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

Record details

NPI number1720972961
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miguel De La Mora — Owner · (509) 910-4559
Other names Bellevue Psychiatry
NPI enumeratedJune 4, 2025
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address1030 N Center Pkwy Ste 113, Kennewick, WA 99336-7160

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