NPIMap

Organization Active NPI

Catholic Family & Child Service

Doing business as Catholic

  • Mental Illness Community Based Residential Treatment Facility
  • Wenatchee, WA
National Provider Identifier
1245687904
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
CG60183227 Issued in WA
Legal business name
CATHOLIC FAMILY & CHILD SERVICE
Doing business as
Catholic
Practice address
627 S Elliott Ave
Wenatchee, WA 98801-3195
Phone
(509) 888-5646
Fax
(509) 888-5648
NPI assigned
May 23, 2016
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Shawn DelancyNPI 1154645687
Title
Stabilization Program Manager
Phone
(509) 888-2118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X CG60183227 WA Primary

Addresses

Primary practice location

627 S Elliott Ave
Wenatchee, WA 98801-3195

Mailing address

640 S Mission St
Wenatchee, WA 98801-3050
Phone (509) 662-6761

Other names 1

  • Catholic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1245687904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013050",
            "telephone_number": "509-662-6761",
            "fax_number": "509-633-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 S ELLIOTT AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013195",
            "telephone_number": "509-888-5646",
            "fax_number": "509-888-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC FAMILY & CHILD SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "DELANCY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "STABILIZATION PROGRAM MANAGER",
        "authorized_official_telephone_number": "509-888-2118"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "WA",
            "license": "CG60183227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.