Doctor profile · Federal record
Dr. Chitchawal Sahatevasukont, N.P.
Psychiatric/Mental Health Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · Bothell, WA
- NPI 1053661074
- MIPS 79.2 / 100 · 2023
- 14 yrs on file
- Licensed in 3 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
22722 29Th Dr Se, Ste 100
Bothell, WA 980214420
(770) 363-0793 - Mailing address
-
1920 Variations Dr Ne
Atlanta, GA 303291009
Credentials & registration
- NPI registered
- September 2012 — 14 yrs on file
- Profile last updated
- May 3, 2020
- Specialty taxonomy
- 363LP0808X — NUCC code
- State licenses (3)
- Iowa #G136472 · Arizona #AP4663 · Georgia #RN176776
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053661074. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$124
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Axsome Therapeutics, Inc. | 1 | $123.83 |
By nature of payment
Frequently asked questions
What is Dr. Chitchawal Sahatevasukont's medical specialty?
Dr. Chitchawal Sahatevasukont practices Psychiatric/Mental Health Nurse Practitioner in Bothell, WA.
Where does Dr. Chitchawal Sahatevasukont practice?
Dr. Chitchawal Sahatevasukont practices at 22722 29Th Dr Se, Bothell, WA 980214420. Office phone: 7703630793.
What is Dr. Chitchawal Sahatevasukont's NPI?
Dr. Chitchawal Sahatevasukont's National Provider Identifier (NPI) is 1053661074, issued by NPPES.