Organization
VANGUARD PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MATTHEW DEFILIPPO DNP, ARNP (OWNER/CEO)
(650) 753-1193
Entity
Organization
Contact information
Practice address
203 W PATISON ST STE A, PORT HADLOCK, WA 98339-8701
(425) 329-7921
(360) 369-6722
Mailing address
203 W PATISON ST STE A, PORT HADLOCK, WA 98339-8701
(425) 329-7921
(360) 369-6722
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041287
—
WA
Enumeration date
05/05/2021
Last updated
04/29/2026
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