Active NPI
Pacific Northwest Treatment Services
- Community/Behavioral Health Agency
- Bellevue, WA
National Provider Identifier
1013188994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PACIFIC NORTHWEST TREATMENT SERVICES
- Practice address
- 40 Lake Bellevue Dr
Suite 100
Bellevue, WA 98005-2479 - Phone
- (425) 641-1999
- Fax
- (425) 641-4069
- NPI assigned
- Mar 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glen P. Merriwether, MA, LMHC, CDP
- Title
- Owner
- Phone
- (425) 641-1999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | WA | Primary |
Addresses
Primary practice location
40 Lake Bellevue Dr
Suite 100
Bellevue, WA 98005-2479
Mailing address
40 Lake Bellevue Dr
Suite 100
Bellevue, WA 98005-2479
Phone (425) 641-1999
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1013188994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LAKE BELLEVUE DR",
"address_2": "SUITE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052479",
"telephone_number": "425-641-1999",
"fax_number": "425-641-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LAKE BELLEVUE DR",
"address_2": "SUITE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052479",
"telephone_number": "425-641-1999",
"fax_number": "425-641-4069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC NORTHWEST TREATMENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "MERRIWETHER",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-641-1999",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, LMHC, CDP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
- Pacific Medical Staffing Inc.
- Pacific Medical Systems, Inc.
- Pacific North Chiropractic Inc.
- Pacific Northwest Massage and Cryotherapy, LLC
- Pacific Northwest Retina PLLC
- Pacific NW Fertility and Ivf Specialists. I. PLLC
- Pacific Oculofacial Plastic Surgery PLLC
- Pacific Seastar Dental PLLC
- Pacific Therapy Group, PLLC
- Pacific Vision Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.