MK Behavioral Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

603487501 Issued in WA

Legal business name

MK BEHAVIORAL SERVICES

Practice address

6711 Olympic Hwy
Aberdeen, WA 98520-5722

Phone

(775) 770-0403

NPI assigned

Mar 22, 2015

Organization subpart

No

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

Authorized official

Name

Mathias Cone

Title

Ceo

Phone

(775) 770-0403

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1426982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426982400000",
    "number": "1154715712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8518 SILVER SHORES DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895062152",
            "telephone_number": "775-770-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 OLYMPIC HWY",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985205722",
            "telephone_number": "775-770-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-22",
        "last_updated": "2015-03-22",
        "status": "A",
        "authorized_official_last_name": "CONE",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-770-0403"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "603487501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley N Minyard
• Cynthia Jones Mitby, OTR/L
• James Almon Mitchell
• Danielle Caye Mittleider, PHARMD
• MJ Clayton
• Shane Lee Moe
• April M Monroe, LCSW
• Stephen Paul Montoure, CDPT
• Keri Lynn Moonen, HIS
• Alexis Kaybrook Moore, MPH, CAAR

• Community/Behavioral Health Agency in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.