| Citadel Psychiatry, Pllc | |
|
2615 Jahn Ave Nw Ste E4 Gig Harbor WA 98335-7997 | |
| (360) 334-7197 | |
| Not Available |
| Full Name | Citadel Psychiatry, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2615 Jahn Ave Nw Ste E4, Gig Harbor, Washington |
| Authorized Official Name and Position | Jamal Williams (CEO, FOUNDER) |
| Authorized Official Contact | 3603347197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citadel Psychiatry, Pllc 5606 18th St Nw Gig Harbor WA 98335-7527 Ph: (360) 334-7197 | Citadel Psychiatry, Pllc 2615 Jahn Ave Nw Ste E4 Gig Harbor WA 98335-7997 Ph: (360) 334-7197 |
| NPI Number | 1295410322 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 08/21/2025 |
| Certification Date | 08/21/2025 |
| Medicare PECOS PAC ID | 8729597844 |
|---|---|
| Medicare Enrollment ID | O20250602000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295410322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jamal Lamar Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811575194 PECOS PAC ID: 5395115745 Enrollment ID: I20221230000854 |
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