Organization Active NPI

Behavioral Medicine Northwest, P.S.

  • Clinical Psychologist
  • Bainbridge Island, WA
National Provider Identifier
1073661286
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
727 Issued in WA
Legal business name
BEHAVIORAL MEDICINE NORTHWEST, P.S.
Practice address
345 Knechtel Way NE
#111
Bainbridge Island, WA 98110-2860
Phone
(206) 720-6155
Fax
(206) 866-6979
NPI assigned
Jan 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Dr. Francine Hay Powel, PH.D.
Title
President
Phone
(206) 720-6155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 727 WA Primary

Addresses

Primary practice location

345 Knechtel Way NE
#111
Bainbridge Island, WA 98110-2860

Mailing address

PO Box 1457
Poulsbo, WA 98370-0160
Phone (206) 720-6155

Other identifiers 1

IdentifierTypeStateIssuer
251056000OtherWAMAGELLAN HEALTH SERVICES

National Provider Directory

National Provider Directory

Locations

345 Knechtel Way NE
Ste 111
Seattle, WA 98110
Phone (206) 720-6155

NPI Registry JSON

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1073661286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1457",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700160",
            "telephone_number": "206-720-6155",
            "fax_number": "360-697-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE",
            "address_2": "#111",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102860",
            "telephone_number": "206-720-6155",
            "fax_number": "206-866-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE NORTHWEST, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "POWEL",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_middle_name": "HAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-720-6155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "251056000",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.