Active NPI
Focal Clinic Inc
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1023521747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AP60095630
- Legal business name
- FOCAL CLINIC INC
- Practice address
- 3305 Main St Ste 205
Vancouver, WA 98663 - Phone
- (360) 282-6650
- Fax
- (360) 397-7500
- NPI assigned
- Nov 16, 2017
- 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. William Dehen, ARNP
- Title
- Psychiatric Nurse Practioner
- Phone
- (360) 282-6650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AP60095630 | WA | Primary |
Addresses
Primary practice location
3305 Main St Ste 205
Vancouver, WA 98663
Mailing address
3305 Main Street
Suite 205
Vancouver, WA 98663
Phone (360) 282-6650
National Provider Directory
National Provider DirectoryLocations
3305 Main St
Ste 205
Vancouver, WA 98663
Phone (360) 282-6650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511222400000",
"number": "1023521747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 MAIN STREET",
"address_2": "SUITE 205",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98663",
"telephone_number": "360-282-6650",
"fax_number": "360-397-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 MAIN ST STE 205",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98663",
"telephone_number": "360-282-6650",
"fax_number": "360-397-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOCAL CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-16",
"last_updated": "2017-11-21",
"status": "A",
"authorized_official_last_name": "DEHEN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTIONER",
"authorized_official_telephone_number": "360-282-6650",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "AP60095630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.