Organization Active NPI

Switchback Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walla Walla, WA
National Provider Identifier
1063990851
Registry record updated Dec 16, 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
SWITCHBACK WELLNESS, LLC
Practice address
5 W Alder St Ste 342
Walla Walla, WA 99362-2849
Phone
(541) 371-2511
Fax
(509) 769-5452
NPI assigned
Aug 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Dr. Teddi Nee, DNP-PMHNPNPI 1598282634
Title
Arnp
Phone
(541) 371-2511

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

5 W Alder St Ste 342
Walla Walla, WA 99362-2849

Mailing address

PO Box 701
College Place, WA 99324-0701
Phone (541) 980-7281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250124001200 WA Part B Supplier - Clinic/Group Practice 2961754965 Receives reassigned benefits from 1 practitioner
Practice locations: Walla Walla, WA

National Provider Directory

National Provider Directory

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": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1063990851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993240701",
            "telephone_number": "541-980-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W ALDER ST STE 342",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622849",
            "telephone_number": "541-371-2511",
            "fax_number": "509-769-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWITCHBACK WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "NEE",
        "authorized_official_first_name": "TEDDI",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "541-371-2511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP-PMHNP"
    },
    "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 Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.