Organization Active NPI

Senior Behavioral Health Solutions, PLLC

  • Clinical Social Worker
  • Port Orchard, WA
National Provider Identifier
1043810633
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 2, 2020

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.