Organization Active NPI

Focal Clinic Inc

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1023521747
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AP60095630 Issued in WA
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

Updated by the provider on Nov 21, 2017

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.