NPIMap

Organization Active NPI

Catholic Community Services of Western Washington

  • Community/Behavioral Health Agency
  • Aberdeen, WA
National Provider Identifier
1124396932
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
169 Issued in WA
Legal business name
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Practice address
224 E Wishkah St
Aberdeen, WA 98520-6513
Phone
(360) 878-8248
NPI assigned
Dec 7, 2011
Last updated
Oct 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Stephanie M. Thelen
Title
Compliance & Policy Analyst
Phone
(253) 761-3898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 169 WA Primary

Addresses

Primary practice location

224 E Wishkah St
Aberdeen, WA 98520-6513

Mailing address

224 E Wishkah St
Aberdeen, WA 98520-6513

Other names 1

  • FBH Aberdeen Other name

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Services WW34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Locations

224 E Wishkah St
Aberdeen, WA 98520
Phone (360) 532-9050

Practitioners & affiliated clinicians

Practitioners 6

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1124396932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E WISHKAH ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E WISHKAH ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206513",
            "telephone_number": "360-878-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "COMPLIANCE & POLICY ANALYST",
        "authorized_official_telephone_number": "253-761-3898"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FBH Aberdeen",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FBH Aberdeen",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.