Organization Active NPI

Sunderland Family Treatment Services

  • Clinic/Center
  • Kennewick, WA
National Provider Identifier
1255389698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUNDERLAND FAMILY TREATMENT SERVICES
Practice address
8656 W Gage Blvd
BLDG C
Kennewick, WA 99336-7145
Phone
(509) 736-0704
Fax
(509) 783-6986
NPI assigned
May 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John V Simpkin, LICSWNPI 1174676258
Title
Executive Director
Phone
(509) 736-0704

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WA Primary

Addresses

Primary practice location

8656 W Gage Blvd
BLDG C
Kennewick, WA 99336-7145

Mailing address

8514 W Gage Blvd
Kennewick, WA 99336-8120
Phone (509) 736-0704

Other identifiers 1

IdentifierTypeStateIssuer
1980267MedicaidWA

National Provider Directory

National Provider Directory

Locations

7103 W Grandridge Blvd
Ste C
Kennewick, WA 99336
Phone (509) 736-0704

8514 W Gage Blvd
#301
Kennewick, WA 99336
Phone (509) 736-0704

8656 W Gage Blvd
Bldg C
Kennewick, WA 99336
Phone (509) 736-0704

Practitioners & affiliated clinicians

Practitioners 10

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": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255389698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368120",
            "telephone_number": "509-736-0704",
            "fax_number": "509-783-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8656 W GAGE BLVD",
            "address_2": "BLDG C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367145",
            "telephone_number": "509-736-0704",
            "fax_number": "509-783-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDERLAND FAMILY TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMPKIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-736-0704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980267",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.