Organization Active NPI

Northbound Treatment Services of Washington, LLC

  • Substance Abuse Rehabilitation Facility
  • Seattle, WA
National Provider Identifier
1316459845
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
200495 Issued in WA
Legal business name
NORTHBOUND TREATMENT SERVICES OF WASHINGTON, LLC
Practice address
510 2ND Ave W
Seattle, WA 98119-3928
Phone
(206) 629-8947
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Paul Alexander
Title
President/Founder
Phone
(949) 269-9201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 200495 WA Primary

Addresses

Primary practice location

510 2ND Ave W
Seattle, WA 98119-3928

Mailing address

3822 Campus Dr Ste 100
Newport Beach, CA 92660-2636
Phone (949) 650-4334

National Provider Directory

National Provider Directory

Locations

510 2nd Ave W
Seattle, WA 98119
Phone (206) 629-8947

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1316459845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 CAMPUS DR STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602636",
            "telephone_number": "949-650-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 2ND AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193928",
            "telephone_number": "206-629-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBOUND TREATMENT SERVICES OF WASHINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "949-269-9201"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "200495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.