Organization Active NPI

Summit BHC Seattle LLC

Doing business as Pacific Sky Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bellevue, WA
National Provider Identifier
1023790805
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SUMMIT BHC SEATTLE LLC
Doing business as
Pacific Sky Recovery Center
Practice address
2370 130TH Ave NE
Bellevue, WA 98005-1770
Phone
(877) 463-3553
NPI assigned
Aug 2, 2023
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
James Stephen Hinkle
Title
General Counsel & Secretary
Phone
(615) 637-7218

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

2370 130TH Ave NE
Bellevue, WA 98005-1770

Mailing address

501 Corporate Centre Dr Ste 600
Franklin, TN 37067-2784
Phone (615) 637-7128

Other names 1

  • Pacific Sky Recovery Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2333180Pacific Sky Recovery Center2370 130TH Ave NE, Bellevue, WA 98005Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Pacific Sky2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2370 130th Ave NE
Bellevue, WA 98005
Phone (425) 628-2820

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1023790805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CORPORATE CENTRE DR STE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672784",
            "telephone_number": "615-637-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 130TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051770",
            "telephone_number": "877-463-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BHC SEATTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
        "authorized_official_telephone_number": "615-637-7218"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Sky Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Sky Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.