Organization Active NPI

Pain and Addiction Study Foundation

  • Addiction (Substance Use Disorder) Counselor
  • Bellevue, WA
National Provider Identifier
1225427859
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17167500 Issued in WA
Legal business name
PAIN AND ADDICTION STUDY FOUNDATION
Practice address
1215 120TH Ave NE
Suite 201
Bellevue, WA 98005-2135
Phone
(425) 283-4200
NPI assigned
Jan 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Martin Shultz, CDP
Title
President and Ceo
Phone
(425) 283-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 17167500 WA Primary

Addresses

Primary practice location

1215 120TH Ave NE
Suite 201
Bellevue, WA 98005-2135

Mailing address

1215 120TH Ave NE
Suite 201
Bellevue, WA 98005-2135
Phone (425) 283-4200

Other names 1

  • PASF Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1225427859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 120TH AVE NE",
            "address_2": "SUITE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052135",
            "telephone_number": "425-283-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 120TH AVE NE",
            "address_2": "SUITE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052135",
            "telephone_number": "425-283-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND ADDICTION STUDY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "425-283-4200",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "17167500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PASF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.