Tri-Cities Chaplaincy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

601128829 Issued in WA

Legal business name

TRI-CITIES CHAPLAINCY

Practice address

1480 Fowler St
Richland, WA 99352-4717

Phone

(509) 783-7416

Fax

(509) 735-7850

NPI assigned

Jun 3, 2015

Organization subpart

Yes

Parent organization

TRI-CITIES CHAPLAINCYAs reported in NPPES

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

Authorized official

Name

Gary Castillo

Title

Acting Executive Director

Phone

(509) 783-7416

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Tri-Cities Chaplaincy Supportive Care Other name

Tax ID family

Tri-Cities Chaplaincy2 organizations share this tax ID, including this one

Part of

Tri-Cities Chaplaincy

Other organizations with this tax ID 1

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

• Tri-Cities Chaplaincy

  • Inpatient Hospice
  • Richland, WA
  • NPI 1407891088
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wayne Michael Kohan, MD

  • Family Medicine Physician
  • Kennewick, WA
  • NPI 1134172281
  NPD (past)

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1144600313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 FOWLER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524717",
            "telephone_number": "509-783-7416",
            "fax_number": "509-735-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 FOWLER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524717",
            "telephone_number": "509-783-7416",
            "fax_number": "509-735-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES CHAPLAINCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-CITIES CHAPLAINCY",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ACTING EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-783-7416"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "601128829",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "601128829",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "601128829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3990124",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Cities Chaplaincy Supportive Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ziga Tretjak, MD
• Tri Cities Community Health
• Tri Cities Community Health
• Tri Cities Maternal Fetal Medicine PLLC
• Tri Cities Sleep Medical LLC
• Tri-Cities Chaplaincy
• Tri-Cities Chaplaincy
• Tri-Cities Community Health
• Tri-Cities Community Health
• Tri-Cities Community Health

• Marriage & Family Therapist in Richland, WA
• Providers in Richland, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.