Active NPI
Partners in Community Care Management Incorporated
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vancouver, WA
National Provider Identifier
1144486473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 1538
- Legal business name
- PARTNERS IN COMMUNITY CARE MANAGEMENT INCORPORATED
- Practice address
- 108 SE 124TH Ave
Vancouver, WA 98684-6015 - Phone
- (360) 833-0834
- NPI assigned
- Aug 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Thorbecke, PH.D.
- Title
- Ceo
- Phone
- (360) 833-0834
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 1538 | WA | Primary |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 1007 | OR |
Addresses
Primary practice location
108 SE 124TH Ave
Vancouver, WA 98684-6015
Mailing address
2703 NW 32ND Ave
Camas, WA 98607-7355
Phone (360) 833-0834
National Provider Directory
National Provider DirectoryLocations
10373 NE Hancock St
Ste 110
Portland, OR 97220
Phone (503) 241-5385
201 SE 124th Ave
Ste 202
Vancouver, WA 98684
Phone (360) 390-8385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227657600000",
"number": "1144486473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 NW 32ND AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986077355",
"telephone_number": "360-833-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 SE 124TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846015",
"telephone_number": "360-833-0834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNERS IN COMMUNITY CARE MANAGEMENT INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-06",
"last_updated": "2008-11-26",
"status": "A",
"authorized_official_last_name": "THORBECKE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "360-833-0834",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "WA",
"license": "1538",
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "OR",
"license": "1007",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.