NPIMap

Organization Active NPI

Olympic Penninsula Autism Center

  • Developmentally Disabled Services Day Training Agency
  • Silverdale, WA
National Provider Identifier
1073979225
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
OLYMPIC PENNINSULA AUTISM CENTER
Practice address
3500 NW Bucklin Hill Rd
Silverdale, WA 98383-8503
Phone
(360) 337-2222
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Jennifer Cleverdon
Title
Program Director
Phone
(360) 337-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3500 NW Bucklin Hill Rd
Silverdale, WA 98383-8503

Mailing address

4008 NW Country LN
Bremerton, WA 98312-1638
Phone (732) 691-8242

National Provider Directory

National Provider Directory
Tax ID family
Easter Seal Society5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3500 NW Bucklin Hill Rd
Silverdale, WA 98383
Phone (360) 337-2222

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": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1073979225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 NW COUNTRY LN",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983121638",
            "telephone_number": "732-691-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NW BUCKLIN HILL RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838503",
            "telephone_number": "360-337-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PENNINSULA AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "CLEVERDON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "360-337-2222"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.