NPIMap

Organization Active NPI

Vashon Youth and Family Services

  • Community/Behavioral Health Agency
  • Vashon, WA
National Provider Identifier
1265636815
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
159 Issued in WA
Legal business name
VASHON YOUTH AND FAMILY SERVICES
Practice address
20110 Vashon Hwy SW
Vashon, WA 98070
Phone
(206) 463-5511
Fax
(206) 632-5513
NPI assigned
Jun 14, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Marianne R Rose, MA CDP
Title
CD Clinical Supervisor
Phone
(206) 463-5511

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

National Provider Directory

National Provider Directory

Locations

20110 Vashon Hwy SW
Vashon, WA 98070
Phone (206) 463-5511

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 159 WA Primary
Adult Mental Health Clinic/Center 261QM0850X 159 WA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 159 WA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 17 1460 00 WA

Addresses

NPPES NPI Registry

Primary practice location

20110 Vashon Hwy SW
Vashon, WA 98070

Mailing address

PO Box 237
Vashon, WA 98070
Phone (206) 463-5511

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
601091281OtherWAUBI STATE LICENSE
RU#651MedicaidWA

Other names 1

NPPES NPI Registry
  • VYFS Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2009.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1265636815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "98070",
            "telephone_number": "206-463-5511",
            "fax_number": "206-463-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20110 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "98070",
            "telephone_number": "206-463-5511",
            "fax_number": "206-632-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASHON YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CD CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "206-463-5511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "159",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "159",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": "159",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "17 1460 00",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI STATE LICENSE",
            "identifier": "601091281",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RU#651",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VYFS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vashon, WA

Sources for this page

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