Organization Active NPI

Psyched Up Success LLC

  • Community/Behavioral Health Agency
  • Concrete, WA
National Provider Identifier
1376340430
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PSYCHED UP SUCCESS LLC
Practice address
7558 Pressentin Ranch Dr
Concrete, WA 98237-8803
Phone
(425) 608-1867
Fax
(425) 845-2375
NPI assigned
Feb 26, 2025
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Jodie Lynn Solberg, CHTNPI 1316744477
Title
President
Phone
(425) 608-1867

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 Primary

Addresses

Primary practice location

7558 Pressentin Ranch Dr
Concrete, WA 98237-8803

Mailing address

PO Box 247
Concrete, WA 98237-0247
Phone (425) 608-1867

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1376340430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "982370247",
            "telephone_number": "425-608-1867",
            "fax_number": "425-845-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7558 PRESSENTIN RANCH DR",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "982378803",
            "telephone_number": "425-608-1867",
            "fax_number": "425-845-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHED UP SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "SOLBERG",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-608-1867",
        "authorized_official_credential": "CHT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concrete, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.