Active NPI
Behavioral Medicine Northwest, P.S.
- Clinical Psychologist
- Bainbridge Island, WA
National Provider Identifier
1073661286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 727
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251056000 | Other | WA | MAGELLAN HEALTH SERVICES |
National Provider Directory
National Provider DirectoryLocations
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.