Organization Active NPI

Ideal Mental Health and Wellness Care, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
National Provider Identifier
1063036770
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
IDEAL MENTAL HEALTH AND WELLNESS CARE, LLC.
Practice address
600 Stewart St Ste 400
Seattle, WA 98101-1217
Phone
(888) 599-4554
Fax
(206) 331-3189
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Davieca D SinghNPI 1164973079
Title
President
Phone
(888) 599-4554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

600 Stewart St Ste 400
Seattle, WA 98101-1217

Mailing address

8815 Conroy Windermere Rd Unit 614
Orlando, FL 32835-3129
Phone (888) 599-4554

Other practice location 1

300 Cadman Plz W
Brooklyn, NY 11201-3229
Phone (888) 599-4554

Other practice location 2

9100 Conroy Windermere Rd Ste 200
Windermere, FL 34786-8431
Phone (206) 331-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211124000417 WA Part B Supplier - Clinic/Group Practice 2163812694 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

600 Stewart St
Ste 400
Seattle, WA 98101
Phone (206) 331-3111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1063036770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 CONROY WINDERMERE RD UNIT 614",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353129",
            "telephone_number": "888-599-4554",
            "fax_number": "206-331-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 STEWART ST STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011217",
            "telephone_number": "888-599-4554",
            "fax_number": "206-331-3189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Cadman Plz W",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112013229",
            "country_code": "US",
            "telephone_number": "888-599-4554",
            "fax_number": "206-331-3189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 Conroy Windermere Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347868431",
            "country_code": "US",
            "telephone_number": "206-331-3111",
            "fax_number": "206-331-3189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDEAL MENTAL HEALTH AND WELLNESS CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "DAVIECA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-599-4554"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.