NPIMap

Organization Active NPI

Autism Therapy Services of Moses Lake, LLC

  • Community/Behavioral Health Agency
  • Moses Lake, WA
National Provider Identifier
1285170290
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
604002137 Issued in WA
Legal business name
AUTISM THERAPY SERVICES OF MOSES LAKE, LLC
Practice address
618 S Alder St
Moses Lake, WA 98837-1760
Phone
(509) 764-6644
Fax
(509) 764-6676
NPI assigned
Jan 13, 2017
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Mrs. Yvonne R ReigstadNPI 1316487333
Title
Administrator/Executive Director
Phone
(509) 764-6644

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
Community/Behavioral Health Agency 251S00000X 604002137 WA Primary

Addresses

Primary practice location

618 S Alder St
Moses Lake, WA 98837-1760

Mailing address

618 S Alder St
Moses Lake, WA 98837-1760
Phone (509) 764-6644

National Provider Directory

National Provider Directory

Locations

618 S Alder St
Moses Lake, WA 98837
Phone (509) 764-6644

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1285170290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S ALDER ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371760",
            "telephone_number": "509-764-6644",
            "fax_number": "509-764-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S ALDER ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371760",
            "telephone_number": "509-764-6644",
            "fax_number": "509-764-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM THERAPY SERVICES OF MOSES LAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "REIGSTAD",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-764-6644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "604002137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.