NPIMap

Organization Active NPI

Cradlestone, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Harbor, WA
National Provider Identifier
1225532849
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
604194142 Issued in WA
Legal business name
CRADLESTONE, LLC
Doing business as
CradleStone, LLC
Practice address
780 SE Bayshore Dr # 201
Oak Harbor, WA 98277-5701
Phone
(360) 682-5519
NPI assigned
Mar 20, 2018
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Mr. Christopher John Wiegenstein, AS, BA, MSNPI 1033512744
Title
Ceo/Counselor
Phone
(360) 682-5519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 604194142 WA Primary
Adult Mental Health Clinic/Center 261QM0850X 604194142 WA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 604194142 WA

Addresses

Primary practice location

780 SE Bayshore Dr # 201
Oak Harbor, WA 98277-5701

Mailing address

PO Box 891
Oak Harbor, WA 98277-0891
Phone (360) 682-5519

Other names 1

  • CradleStone, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1225532849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982770891",
            "telephone_number": "360-682-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SE BAYSHORE DR # 201",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775701",
            "telephone_number": "360-682-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRADLESTONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "WIEGENSTEIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO/COUNSELOR",
        "authorized_official_telephone_number": "360-682-5519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AS, BA, MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "604194142",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "604194142",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": "604194142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CradleStone, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Harbor, WA

Sources for this page

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