United Behavioral Health

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

UNITED BEHAVIORAL HEALTH

Practice address

3315 S 23Rd St
Tacoma, WA 98405-1605

Phone

(253) 292-4189

Fax

(253) 292-4219

NPI assigned

Jul 30, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Cheri D Dolezal, RN

Title

Ceo

Phone

(253) 292-4189

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Optum Washington Health Home Other name

Locations

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1083046270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 S 23RD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051605",
            "telephone_number": "253-292-4189",
            "fax_number": "253-292-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 S 23RD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051605",
            "telephone_number": "253-292-4189",
            "fax_number": "253-292-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "DOLEZAL",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-292-4189",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE HEALTH CARE AUTHORITY",
            "identifier": "2000085",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE HEALTH CARE AUTHORITY",
            "identifier": "200008501",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optum Washington Health Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Union Avenue Compounding Pharmacy
• Union Avenue Compounding Pharmacy
• Union Avenue Dental Center
• Union Avenue Open MRI LLC
• Union Avenue Pediatrics, PLLC
• United Cerebral Palsy of South Puget Sound
• United Seating and Mobility, LLC
• United States Army
• United States Public Health Service
• University of Puget Sound

• Case Management Agency in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.