Organization Active NPI

American Behavioral Health Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Spokane, WA
National Provider Identifier
1073648374
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
32096700 Issued in WA
Legal business name
AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.
Practice address
44 E Cozza Dr
Spokane, WA 99208-6514
Phone
(509) 232-5766
NPI assigned
Feb 23, 2007
Organization subpart
Yes
Parent organization
AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Tiffany Dawn Stretch
Title
Cfo
Phone
(509) 232-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 32096700 WA Primary

Addresses

Primary practice location

44 E Cozza Dr
Spokane, WA 99208-6514

Mailing address

PO Box 141106
Spokane Valley, WA 99214-1106
Phone (509) 232-5766

Other names 2

  • ABHS Other name
  • American Behavioral Health Systems Cozza Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201201000748 WA Part B Supplier - Clinic/Group Practice 9335550052 Receives reassigned benefits from 21 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wenatchee, WA; Spokane Valley, WA; Spokane, WA; Port Angeles, WA; Chehalis, WA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Abhs Spokane Outpatient Program

Practitioners & affiliated clinicians

Practitioners 2

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1073648374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141106",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992141106",
            "telephone_number": "509-232-5766",
            "fax_number": "509-321-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E COZZA DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086514",
            "telephone_number": "509-232-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "STRETCH",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-232-5766"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "32096700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABHS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "American Behavioral Health Systems Cozza",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.