Organization Active NPI

Young Womens Christian Association of Seattle King County Snohomis Cou

  • Community/Behavioral Health Agency
  • Lynnwood, WA
National Provider Identifier
1215358676
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
287 Issued in WA
Legal business name
YOUNG WOMENS CHRISTIAN ASSOCIATION OF SEATTLE KING COUNTY SNOHOMIS COU
Practice address
19703 68TH Avenue West
Lynnwood, WA 98036-4505
Phone
(425) 412-2360
Fax
(425) 412-2379
NPI assigned
Jan 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Ms. Susan D. Sherbrooke
Title
Chief Executive Officer
Phone
(206) 461-4851

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 287 WA
Case Management Agency 251B00000X 249 WA
Community/Behavioral Health Agency 251S00000X 287 WA Primary
Community/Behavioral Health Agency 251S00000X 249 WA

Addresses

Primary practice location

19703 68TH Avenue West
Lynnwood, WA 98036-4505

Mailing address

1118 5TH Ave
Seattle, WA 98101-3001
Phone (206) 461-4888

National Provider Directory

National Provider Directory
Tax ID family
Young Womens Christian Association of Seattle King County Snohomis Cou3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

19703 68th Ave W
Lynnwood, WA 98036
Phone (425) 412-2360

Practitioners & affiliated clinicians

Practitioners 3

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": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1215358676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 5TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013001",
            "telephone_number": "206-461-4888",
            "fax_number": "206-461-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19703 68TH AVENUE WEST",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364505",
            "telephone_number": "425-412-2360",
            "fax_number": "425-412-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG WOMENS CHRISTIAN ASSOCIATION OF SEATTLE KING COUNTY SNOHOMIS COU",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "SHERBROOKE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "206-461-4851",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "287",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "249",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "287",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.