Organization Active NPI

Foundations for Learning and Behavior

  • Community/Behavioral Health Agency
  • Redmond, WA
National Provider Identifier
1194067231
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
602-959-655 Issued in WA
Legal business name
FOUNDATIONS FOR LEARNING AND BEHAVIOR
Practice address
16715 NE 79TH St
Redmond, WA 98052-4425
Phone
(425) 242-0973
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Mr. Paul Johnson
Title
Director
Phone
(425) 242-0973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 602-959-655 WA Primary

Addresses

Primary practice location

16715 NE 79TH St
Redmond, WA 98052-4425

Mailing address

16715 NE 79TH St
Redmond, WA 98052-4425
Phone (425) 242-0973

Other identifiers 1

IdentifierTypeStateIssuer
602-959-655MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Foundations for Learning and Behavior2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

16715 NE 79th St
Redmond, WA 98052
Phone (425) 242-0973

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1194067231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16715 NE 79TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524425",
            "telephone_number": "425-242-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 NE 79TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524425",
            "telephone_number": "425-242-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FOR LEARNING AND BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-242-0973",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "602-959-655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602-959-655",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.