NPIMap

Organization Active NPI

Olympic Peninsula Autism Center

Doing business as Easter Seals Autism Center

  • Community/Behavioral Health Agency
  • Silverdale, WA
National Provider Identifier
1295195394
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CG Issued in WA
Legal business name
OLYMPIC PENINSULA AUTISM CENTER
Doing business as
Easter Seals Autism Center
Practice address
3100 NW Bucklin Hill Rd Ste 101
Silverdale, WA 98383-8359
Phone
(360) 337-2222
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Miss Chelsea Dayne Girtler, CG
Title
RBT
Phone
(415) 827-0698

Specialties & licenses 1

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

Addresses

Primary practice location

3100 NW Bucklin Hill Rd Ste 101
Silverdale, WA 98383-8359

Mailing address

1331 Elizabeth Ave
Bremerton, WA 98337-1730
Phone (415) 827-0698

Other identifiers 1

IdentifierTypeStateIssuer
CGMedicaidWA

Other names 1

  • Easter Seals Autism Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Easter Seal Society of5 organizations share this tax ID, including this one

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
Ste 101
Silverdale, WA 98383
Phone (360) 613-0430

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1295195394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 ELIZABETH AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371730",
            "telephone_number": "415-827-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838359",
            "telephone_number": "360-337-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PENINSULA AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "GIRTLER",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "DAYNE",
        "authorized_official_title_or_position": "RBT",
        "authorized_official_telephone_number": "415-827-0698",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CG"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CG",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 2, 2016; 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.