Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SID H SIAHPUSH, MD, PHD. MPH, CGP
DeactivatedSID H SIAHPUSH, MD, PHD. MPH, CGP is a Psychiatry healthcare provider located in BOTHELL, Washington. NPI 1104036631 is deactivated in the NPPES registry. Verify at CMS.
Psychiatry · BOTHELL, WA
This NPI has been deactivated.
The record was deactivated on October 22, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104036631
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (18.416438356164 yrs)
- Last Updated
- Nov 20, 2025
- Deactivated
- Oct 22, 2025
- Licenses
-
53335-20 (WI)5465497134 (IL)MD60240047 (WA)
Practice Information
- Address
-
10500 BEARDSLEE BLVD UNIT 1665BOTHELL, WA, 980410300Browse WA providers · Browse ZIP 98041
- Phone
- 4252090202
- Fax
- 4258184879
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in BOTHELL, WA
| Name | Credential | NPI |
|---|---|---|
| JAMES A MILLER JR. | M.D. | 1629006358 |
| SYED JAMAL MUSTAFA | M.D. | 1609883180 |
| SYED KAMAL MUSTAFA | M.D. | 1316954894 |
| DR. ROBERT BERNARD DEVNEY | MD | 1770668576 |
| CHERYL GREEN HAJEK | M.D. | 1992858690 |
| DR. RICHARD EDUARDO REPASS | M.D. | 1316085855 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.