MAGNOLIA PSYCHIATRY, LLC – Addiction Psychiatry Physician, NPI 1003346594

MAGNOLIA PSYCHIATRY, LLC is a healthcare provider. based in Bellevue, Washington. specializing in Addiction Psychiatry Physician. The organization holds a License No. MD00036813 (WA). The NPI Number for MAGNOLIA PSYCHIATRY, LLC is 1003346594

Main info

Organization
Name
MAGNOLIA PSYCHIATRY, LLC
NPI
1003346594
Phone
(425) 467-1000
Address
PO BOX 7239
Authorized Official
MARC DAVID PELLICCIARO PSYCHIATRIST MD
Enumeration Date
15 June 2017
Last Update Date
17 April 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for MAGNOLIA PSYCHIATRY, LLC

  • PO BOX 7239

    BELLEVUE, WA 980081239

    Phone: (425) 467-1000

    Fax: (425) 467-0100

    Type: Mailing

  • Northup Way, Northup, Bellevue, King County, Washington, 98004-4452, United States

    BELLEVUE, WA 980051935

    Phone: (425) 467-1000

    Fax: (425) 467-0100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98008)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is MAGNOLIA PSYCHIATRY, LLC listed with a National Provider Identifier?
Yes — MAGNOLIA PSYCHIATRY, LLC has NPI 1003346594 on file in the registry.
Would MAGNOLIA PSYCHIATRY, LLC appear as active to a payer?
You can treat MAGNOLIA PSYCHIATRY, LLC as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MAGNOLIA PSYCHIATRY, LLC?
MAGNOLIA PSYCHIATRY, LLC's record emphasizes Addiction Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is MAGNOLIA PSYCHIATRY, LLC located near Bellevue?
MAGNOLIA PSYCHIATRY, LLC currently maps to Bellevue, Washington in this extract.
Can I trust this NPI listing for MAGNOLIA PSYCHIATRY, LLC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

STEVEN M JUERGENS (MD)

Psychiatry Physician
Southeast 8th Street, Bellevue, King County, Washington, 98008, United States
NPI: 1821188764

DR. KALYAN DANDALA (MD)

Addiction Psychiatry Physician
1215, 120th Avenue Northeast, Spring District, Bellevue, King County, Washington, 98005, United States
NPI: 1336295864

DR. HOWARD BERRYMAN EDWARDS (M.D.)

Addiction Psychiatry Physician
14205 SE 36TH ST
NPI: 1609915685

Integra Health

Addiction Medicine (Internal Medicine) Physician
1215, 120th Avenue Northeast, Spring District, Bellevue, King County, Washington, 98005, United States
NPI: 1548426091

ELIZABETH MARIE TIFFANY (M.D.)

Addiction Psychiatry Physician
1501 MADISON RD
NPI: 1659660371

DanMed

Addiction Psychiatry Physician
3174 NE HARRISON ST
NPI: 1558600650

ANTON POWER (D.O.)

General Practice Physician
1 JARRETT WHITE RD
NPI: 1285175075
34700 VALLEY RD
NPI: 1306442942