Pinnacle Peak Institute Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

34 1527 00 Issued in WA

Legal business name

PINNACLE PEAK INSTITUTE INC

Practice address

1880 Barnes Blvd SW Ste B-1
Tumwater, WA 98512-1435

Phone

(360) 704-0086

NPI assigned

Apr 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Connie L Thompson, PH.D

Title

Ceo

Phone

(360) 628-1256

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1275823536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 BARNES BLVD SW STE B-1",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985121435",
            "telephone_number": "360-704-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 BARNES BLVD SW STE B-1",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985121435",
            "telephone_number": "360-704-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PEAK INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-628-1256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "LH60174986",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": "LH60174986",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "34 1527 00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mae Peters, LMHC
• Michelle Marie Peterson, RN
• Christy Pham, PHARMD
• Physiotherapy Associates Inc
• Jose-Manuel Pineda
• Carrie Lynn Pipkin
• Amy Pittman
• Kathleen De'Shae Plath
• Vince A Potts, A.T.C.
• Christopher J Potvin, A.T.C.

• Substance Use Disorder Rehabilitation Clinic/Center in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.