NPIMap

Organization Active NPI

Stillaguamish Behavioral Health

  • Community/Behavioral Health Agency
  • Arlington, WA
National Provider Identifier
1235362724
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CO60105693 Issued in WA
Legal business name
STILLAGUAMISH BEHAVIORAL HEALTH
Practice address
17014 59TH Ave NE
Arlington, WA 98223-4875
Phone
(360) 435-3985
NPI assigned
Aug 31, 2009
Last updated
Aug 31, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
STILLAGUAMISH TRIBE OF INDIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Jessica Pate
Title
CDPT
Phone
(360) 435-3985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CO60105693 WA Primary

Addresses

Primary practice location

17014 59TH Ave NE
Arlington, WA 98223-4875

Mailing address

17014 59TH Ave NE
Arlington, WA 98223-4875

National Provider Directory

National Provider Directory
Part of
Stillaguamish Tribal Health Clinic

Locations

17014 59th Ave NE
Arlington, WA 98223
Phone (360) 435-3985

Practitioners & affiliated clinicians

Practitioners 5

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": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1235362724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17014 59TH AVE NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17014 59TH AVE NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234875",
            "telephone_number": "360-435-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLAGUAMISH BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STILLAGUAMISH TRIBE OF INDIANS",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CDPT",
        "authorized_official_telephone_number": "360-435-3985"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CO60105693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.