Organization Active NPI

CK Therapeutics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
National Provider Identifier
1023475589
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
AP30006039 Issued in WA
Legal business name
CK THERAPEUTICS
Practice address
140 S Arthur St Ste 415
Spokane, WA 99202-2220
Phone
(509) 850-6926
Fax
(509) 533-0627
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol Lynn Kottwitz, ARNPNPI 1992184857
Title
Arnp
Phone
(509) 850-6926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X AP30006039 WA Primary

Addresses

Primary practice location

140 S Arthur St Ste 415
Spokane, WA 99202-2220

Mailing address

140 S Arthur St Ste 415
Spokane, WA 99202-2220
Phone (509) 850-6926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160316001944 WA Part B Supplier - Clinic/Group Practice 3779889787 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1023475589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S ARTHUR ST STE 415",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022220",
            "telephone_number": "509-850-6926",
            "fax_number": "509-533-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S ARTHUR ST STE 415",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022220",
            "telephone_number": "509-850-6926",
            "fax_number": "509-533-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "KOTTWITZ",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "509-850-6926",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "AP30006039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.