Organization Active NPI

Easter Seals Washington Olympic Peninsula Autism Center

  • Community/Behavioral Health Agency
  • Silverdale, WA
National Provider Identifier
1275998940
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTER SEALS WASHINGTON OLYMPIC PENINSULA AUTISM CENTER
Practice address
3100 NW Bucklin Hill Rd
Silverdale, WA 98383-8358
Phone
(360) 337-2222
NPI assigned
Dec 23, 2015
Organization subpart
Yes
Parent organization
EASTER SEALS WASHINGTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Jennifer Cleverdon
Title
Program Director
Phone
(360) 337-2222

Specialties & licenses 1

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

Addresses

Primary practice location

3100 NW Bucklin Hill Rd
Silverdale, WA 98383-8358

Mailing address

3100 Bucklin Hill Road
Silverdale, WA 98383-8358
Phone (360) 337-2222

National Provider Directory

National Provider Directory
Tax ID family
Easter Seal Society5 organizations share this tax ID, including this one
Part of
Easter Seal Society

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3100 NW Bucklin Hill Rd
Silverdale, WA 98383
Phone (360) 337-2222

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1275998940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BUCKLIN HILL ROAD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838358",
            "telephone_number": "360-337-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838358",
            "telephone_number": "360-337-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS WASHINGTON OLYMPIC PENINSULA AUTISM CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTER SEALS WASHINGTON",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "CLEVERDON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "360-337-2222"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.