NPIMap

Organization Active NPI

Vest Seattle, LLC

Doing business as Smokey Point Behavioral Hospital

  • Psychiatry Physician
  • Marysville, WA
National Provider Identifier
1104338144
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VEST SEATTLE, LLC
Doing business as
Smokey Point Behavioral Hospital
Practice address
3955 156TH St NE
Marysville, WA 98271-4831
Phone
(844) 202-5555
Fax
(360) 542-2254
NPI assigned
Oct 31, 2017
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Richard Allen Kresch, M.D.
Title
Manager
Phone
(212) 243-5565

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0808X

Addresses

Primary practice location

3955 156TH St NE
Marysville, WA 98271-4831

Mailing address

3955 156TH Street NE
Marysville, WA 98271-4831
Phone (360) 651-6400

Other names 1

  • SMOKEY POINT BEHAVIORAL HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, GA, FL, TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20170606001548 WA Part B Supplier - Clinic/Group Practice 7416233549 Receives reassigned benefits from 28 practitioners
1 other NPI on this enrollment
Practice locations: Marysville, WA
O20210805001954 GA Part B Supplier - Clinic/Group Practice 7416233549 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroe, GA; Smyrna, GA
O20220516001814 FL Part B Supplier - Clinic/Group Practice 7416233549 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clearwater, FL
O20220718003783 TX Part B Supplier - Clinic/Group Practice 7416233549 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Haslet, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Vest Seattle, LLC

    dba Smokey Point Behavioral Hospital

    • Psychiatric Hospital
    • Marysville, WA
    • NPI 1679020150

    O20170606001548, O20210805001954, O20220516001814, O20220718003783

    Same enrollment

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1104338144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 156TH STREET NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714831",
            "telephone_number": "360-651-6400",
            "fax_number": "360-542-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 156TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714831",
            "telephone_number": "844-202-5555",
            "fax_number": "360-542-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEST SEATTLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "KRESCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-243-5565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMOKEY POINT BEHAVIORAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMOKEY POINT BEHAVIORAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.