Organization Active NPI

Icare Therapy Wa LLC

  • Behavior Analyst
  • Seattle, WA
National Provider Identifier
1023834702
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ICARE THERAPY WA LLC
Practice address
450 Alaska Way S Suite 200
Seattle, WA 98104
Phone
(866) 588-8829
NPI assigned
Nov 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Alex Denciger
Title
Managing Member
Phone
(866) 588-8829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

450 Alaska Way S Suite 200
Seattle, WA 98104

Mailing address

825 W End Ave
New York, NY 10025-5349
Phone (866) 588-8829

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1023834702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255349",
            "telephone_number": "866-588-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ALASKA WAY S SUITE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "866-588-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE THERAPY WA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "DENCIGER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "866-588-8829"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.