NPIMap

Organization Active NPI

Develop Minded Therapies

  • Case Management Agency
  • Tacoma, WA
National Provider Identifier
1154828770
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DEVELOP MINDED THERAPIES
Practice address
4040 S Tyler St Ste 9
Tacoma, WA 98409-2143
Phone
(253) 750-2664
Fax
(253) 215-4426
NPI assigned
Apr 10, 2018
Organization subpart
Yes
Parent organization
DEVELOP MINDED THERAPIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Mr. Dathan LaneNPI 1629384375
Title
Owner
Phone
(253) 750-2664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Migrant Health Clinic/Center 261QM1000X

Addresses

Primary practice location

4040 S Tyler St Ste 9
Tacoma, WA 98409-2143

Mailing address

4040 S Tyler St Ste 9
Tacoma, WA 98409-2143
Phone (253) 750-2664

National Provider Directory

National Provider Directory
Tax ID family
Develop Minded Therapies3 organizations share this tax ID, including this one
Part of
Develop Minded Therapies

Other organizations with this tax ID 2

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

Locations

4040 S Tyler St
Ste 9
Tacoma, WA 98409
Phone (253) 750-2664

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1154828770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 S TYLER ST STE 9",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092143",
            "telephone_number": "253-750-2664",
            "fax_number": "253-215-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 S TYLER ST STE 9",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092143",
            "telephone_number": "253-750-2664",
            "fax_number": "253-215-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOP MINDED THERAPIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEVELOP MINDED THERAPIES",
        "enumeration_date": "2018-04-10",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-750-2664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.