NPIMap

Organization Active NPI

Childstrive

  • Developmental Disabilities Clinic/Center
  • Everett, WA
National Provider Identifier
1205872280
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
CHILDSTRIVE
Practice address
906 SE Everett Mall Way Ste 200
Everett, WA 98208-3743
Phone
(425) 353-5656
Fax
(425) 513-2807
NPI assigned
Jun 20, 2006
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Tara Skelly
Title
Senior Biller
Phone
(425) 353-5656

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

906 SE Everett Mall Way Ste 200
Everett, WA 98208-3743

Mailing address

906 SE Everett Mall Way Ste 200
Everett, WA 98208-3743
Phone (425) 353-5656

Other names 1

  • little red school house dba childstrive Former legal business name

National Provider Directory

National Provider Directory

Locations

14 E Casino Rd
Everett, WA 98208
Phone (425) 513-1663

14 E Casino Rd
Ste A
Everett, WA 98208
Phone (425) 353-5656

906 SE Everett Mall Way
Ste 200
Everett, WA 98208
Phone (425) 353-5656

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1205872280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 SE EVERETT MALL WAY STE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083743",
            "telephone_number": "425-353-5656",
            "fax_number": "425-513-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 SE EVERETT MALL WAY STE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083743",
            "telephone_number": "425-353-5656",
            "fax_number": "425-513-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDSTRIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "SKELLY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "SENIOR BILLER",
        "authorized_official_telephone_number": "425-353-5656"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "little red school house dba childstrive",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 23, 2023; 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.