NPIMap

Organization Active NPI

Southeast Youth and Family Services

  • Community/Behavioral Health Agency
  • Seattle, WA
National Provider Identifier
1326453051
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
173 Issued in WA
Legal business name
SOUTHEAST YOUTH AND FAMILY SERVICES
Practice address
3722 S Hudson St
Seattle, WA 98118-1920
Phone
(206) 721-5542
Fax
(206) 721-5917
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Ms. Jeri R. White, LICSW, CMHS, EMMHS
Title
Executive Director
Phone
(206) 721-5542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 173 WA Primary

Addresses

Primary practice location

3722 S Hudson St
Seattle, WA 98118-1920

Mailing address

3722 S Hudson St
Seattle, WA 98118-1920
Phone (206) 721-5542

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1326453051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 S HUDSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181920",
            "telephone_number": "206-721-5542",
            "fax_number": "206-721-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 S HUDSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181920",
            "telephone_number": "206-721-5542",
            "fax_number": "206-721-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-721-5542",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW, CMHS, EMMHS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "173",
            "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 Jun 20, 2014; 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.