Skookum Educational Programs

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SKOOKUM EDUCATIONAL PROGRAMS

Practice address

4525 Auto Center Way
Bremerton, WA 98312-4312

Phone

(360) 475-0756

Fax

(360) 475-0757

NPI assigned

Jun 7, 2019

Last updated

Jun 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Wiese

Title

Contracts Manager

Phone

(360) 475-0756

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1023677523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5359",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983120518",
            "telephone_number": "360-475-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 AUTO CENTER WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983124312",
            "telephone_number": "360-475-0756",
            "fax_number": "360-475-0757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Benedict St",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983684629",
            "country_code": "US",
            "telephone_number": "360-385-4980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKOOKUM EDUCATIONAL PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CONTRACTS MANAGER",
        "authorized_official_telephone_number": "360-475-0756"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmason-todd@skookum.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4525 Auto Center Way",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983124312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hana Singer, PTA
• Maninderjit Singh, MD
• Chloe Sinnett
• Patrick Lawrence Sinopole, MD
• Steven Sirotzki
• Thomas Skurk
• Dane Slater
• Tiffany Lynne Slater
• Elliott Slaughter
• Patricia Anna Slaye, MSW

• Case Management Agency in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.