NPIMap

Organization Active NPI

Catholic Community Services of Western Washington

  • Community/Behavioral Health Agency
  • Everett, WA
National Provider Identifier
1184786451
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
211 Issued in WA
Legal business name
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Practice address
1918 Everett Ave
Everett, WA 98201-3607
Phone
(425) 257-2111
Fax
(425) 259-5059
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Stephanie M. Thelen
Title
Compliance & Policy
Phone
(253) 761-3898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 211 WA Primary

Addresses

Primary practice location

1918 Everett Ave
Everett, WA 98201-3607

Mailing address

1918 Everett Ave
Everett, WA 98201-3607
Phone (425) 257-2111

Other names 1

  • Catholic Community Services Snohomish Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Services WW34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Locations

1918 Everett Ave
Everett, WA 98201
Phone (425) 257-2101

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1184786451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 EVERETT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013607",
            "telephone_number": "425-257-2111",
            "fax_number": "425-259-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 EVERETT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013607",
            "telephone_number": "425-257-2111",
            "fax_number": "425-259-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "COMPLIANCE & POLICY",
        "authorized_official_telephone_number": "253-761-3898"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Community Services Snohomish",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.