Organization Active NPI

Sound Health and Wellness Center Inc.

  • Family Medicine Physician
  • Poulsbo, WA
National Provider Identifier
1104967827
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00035541 Issued in WA
Legal business name
SOUND HEALTH AND WELLNESS CENTER INC.
Practice address
19735 10TH Ave NE
Suite S102
Poulsbo, WA 98370-7693
Phone
(360) 779-5461
Fax
(360) 779-6182
NPI assigned
Feb 8, 2007
Last updated
Sep 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Dr. Susan J Shlifer, M.D.NPI 1871647313
Title
President
Phone
(360) 779-5461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00035541 WA Primary

Addresses

Primary practice location

19735 10TH Ave NE
Suite S102
Poulsbo, WA 98370-7693

Mailing address

19735 10TH Ave NE
Suite S102
Poulsbo, WA 98370-7693
Phone (360) 779-5461

Other identifiers 1

IdentifierTypeStateIssuer
1102250MedicaidWA

National Provider Directory

National Provider Directory

Locations

19735 10th Ave NE
Ste S102
Poulsbo, WA 98370
Phone (360) 779-5461

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1104967827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19735 10TH AVE NE",
            "address_2": "SUITE S102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707693",
            "telephone_number": "360-779-5461",
            "fax_number": "360-779-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 10TH AVE NE",
            "address_2": "SUITE S102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707693",
            "telephone_number": "360-779-5461",
            "fax_number": "360-779-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND HEALTH AND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "SHLIFER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-779-5461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00035541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102250",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.