Active NPI
Senior Behavioral Health Solutions, PLLC
- Clinical Social Worker
- Port Orchard, WA
National Provider Identifier
1043810633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SENIOR BEHAVIORAL HEALTH SOLUTIONS, PLLC
- Practice address
- 4445 SE Firmont Dr
Port Orchard, WA 98367-9015 - Phone
- (360) 535-3847
- Fax
- (877) 682-9319
- NPI assigned
- Nov 1, 2020
- 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
- Kaylee E Berry-Reich, LICSW
- Title
- Owner
- Phone
- (360) 535-3847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4445 SE Firmont Dr
Port Orchard, WA 98367-9015
Mailing address
PO Box 2164
Sumner, WA 98390-0480
Phone (206) 387-2469
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604275200000",
"number": "1043810633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2164",
"city": "SUMNER",
"state": "WA",
"postal_code": "983900480",
"telephone_number": "206-387-2469",
"fax_number": "877-682-9319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 SE FIRMONT DR",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983679015",
"telephone_number": "360-535-3847",
"fax_number": "877-682-9319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR BEHAVIORAL HEALTH SOLUTIONS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-01",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A",
"authorized_official_last_name": "BERRY-REICH",
"authorized_official_first_name": "KAYLEE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-535-3847",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.