1:11 THERAPEUTICS PLLC — NPI 1992652283 (Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) in SEATTLE, WA)

Plain-English Taxonomy Translation (2084P0800X)

What Does Taxonomy Code 2084P0800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0800X translates in plain language to:
"Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)"

Primary Certifying / Accrediting Authority: American Board of Psychiatry and Neurology (ABPN)
When Patients Should Consult: Depression, generalized anxiety, panic attacks, insomnia, bipolar disorder, OCD, PTSD, or medical recovery from substance dependence.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 1:11 THERAPEUTICS PLLC:

High-Volume Clinical Procedures & Diagnostics:

Comprehensive Psychiatric Diagnostic Evaluation (CPT 90792)
Psychopharmacological Management & Supportive Psychotherapy
Medication-Assisted Treatment (MAT) for Substance Use Disorders

Common Therapeutic & Prescribing Classes:

SSRIs & SNRIs (Sertraline, Escitalopram, Fluoxetine, Duloxetine)
Bupropion, Mirtazapine & Atypical Antipsychotics (Aripiprazole, Quetiapine)
Buprenorphine/Naloxone & Naltrexone (Addiction Recovery)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1992652283 (NPI-2 Organization / Facility)
Provider / Legal Name	1:11 THERAPEUTICS PLLC
Plain-English Specialty	Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) NUCC Code: `2084P0800X` (Psychiatry & Neurology, Psychiatry)
Certifying / Licensing Body	American Board of Psychiatry and Neurology (ABPN)
Practice Location Address	7500 BANNER WAY NE, SEATTLE, WA, 981154176
Practice Telephone / Fax	Tel: 818-515-7991
Administrative Mailing Address	212 ROSETTI TRCE, PEACHTREE CITY, GA, 302695663
Enumeration & Last Sync	Enumerated: 2026-03-14 \| Updated: 2026-10-22
Authorized Official	DERRICK SMITH (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7500 BANNER WAY NE, SEATTLE, WA, 981154176

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ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2084P0800X` — Psychiatry & Neurology, Psychiatry Plain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)	State: N/A \| License: Verified \| Primary Taxonomy: Yes

1:11 THERAPEUTICS PLLC (NPI #1992652283)