Beda Chelh

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BEDA CHELH

Practice address

2828 Mission Hill Rd
Tulalip, WA 98271-9706

Phone

(360) 716-4305

NPI assigned

Oct 22, 2008

Organization subpart

Yes

Parent organization

THE TULALIP TRIBESAs reported in NPPES

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

Authorized official

Name

Sherry J Guzman, MSW

Title

Senior Manager

Phone

(360) 716-4305

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Tulalip Health Clinic

Practitioners 1

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

• Correna Davenport, MA. MFT, RC, CMHS

  • Professional Counselor
  • Tulalip, WA
  • NPI 1568697456
  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1073765962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 MISSION HILL RD.",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "98271",
            "telephone_number": "360-716-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 MISSION HILL RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719706",
            "telephone_number": "360-716-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDA CHELH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE TULALIP TRIBES",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR MANAGER",
        "authorized_official_telephone_number": "360-716-4305",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980952",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miguel Antonio Arteaga, RN, MN
• Kari Baggarley
• William Charles Barrett, RPH
• Bernie Bauman
• Cynthia Foster Beckett, PHARM.D.
• Rebecca Lynne Berry, RN
• Marlyce Black, LMP
• Cinda Jo Bolette
• Tory L Booth, MA, LMFT, ATR
• Sandra Breaux

• Community/Behavioral Health Agency in Tulalip, WA
• Providers in Tulalip, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.