Organization Active NPI

Partners in Community Care Management Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vancouver, WA
National Provider Identifier
1144486473
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1538 Issued in WA
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

Updated by the provider on Nov 26, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.