NPIMap

Organization Active NPI

Evidence Based Treatment Centers of Seattle

  • Community/Behavioral Health Agency
  • Seattle, WA
National Provider Identifier
1083882260
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY3666 Issued in WA
Legal business name
EVIDENCE BASED TREATMENT CENTERS OF SEATTLE
Practice address
1218 3Rd Ave
Suite 500
Seattle, WA 98101-3097
Phone
(206) 374-0109
Fax
(206) 374-0108
NPI assigned
Feb 11, 2008
Organization subpart
Yes
Parent organization
EVIDENCE BASED TREATMENT CENTERS OF SEATTLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. Michelle R Katz, PSY.D.
Title
Clinical Psychologist & Post-Doc
Phone
(206) 374-0109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PY3666 WA Primary

Addresses

Primary practice location

1218 3Rd Ave
Suite 500
Seattle, WA 98101-3097

Mailing address

1218 3Rd Ave
Suite 500
Seattle, WA 98101-3081
Phone (206) 374-0109

National Provider Directory

National Provider Directory
Tax ID family
Evidence Based Treatment Centers of Seattle PLLC2 organizations share this tax ID, including this one
Part of
Evidence Based Treatment Centers of Seattle PLLC

Other organizations with this tax ID 1

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

Locations

1218 3rd Ave
Ste 500
Seattle, WA 98101
Phone (206) 374-0109

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

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": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1083882260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 3RD AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013081",
            "telephone_number": "206-374-0109",
            "fax_number": "206-374-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 3RD AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013097",
            "telephone_number": "206-374-0109",
            "fax_number": "206-374-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIDENCE BASED TREATMENT CENTERS OF SEATTLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVIDENCE BASED TREATMENT CENTERS OF SEATTLE",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST & POST-DOC",
        "authorized_official_telephone_number": "206-374-0109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "PY3666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.