Organization Active NPI

Doug Bartholomew Ms Inc.

  • Adult Mental Health Clinic/Center
  • Bellevue, WA
National Provider Identifier
1336695824
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LH 00003582 Issued in WA
Legal business name
DOUG BARTHOLOMEW MS INC.
Practice address
13606 NE 20TH St
#200
Bellevue, WA 98005-2011
Phone
(425) 635-0188
Fax
(425) 451-8804
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Mr. Doug Jerry Bartholomew, M.S.
Title
President
Phone
(425) 635-0188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LH 00003582 WA Primary

Addresses

Primary practice location

13606 NE 20TH St
#200
Bellevue, WA 98005-2011

Mailing address

13606 NE 20TH St
#200
Bellevue, WA 98005-2011
Phone (425) 635-0188

National Provider Directory

National Provider Directory

Locations

13606 NE 20th St
Ste 200
Bellevue, WA 98005
Phone (425) 462-0040

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1336695824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 NE 20TH ST",
            "address_2": "#200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052011",
            "telephone_number": "425-635-0188",
            "fax_number": "425-451-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13606 NE 20TH ST",
            "address_2": "#200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052011",
            "telephone_number": "425-635-0188",
            "fax_number": "425-451-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG BARTHOLOMEW MS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-635-0188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "LH 00003582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.