TFD Cares/Behavioral Health

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TFD CARES/BEHAVIORAL HEALTH

Practice address

901 Fawcett Ave
Tacoma, WA 98402-5605

Phone

(253) 591-5737

Fax

(253) 591-5746

NPI assigned

Jun 4, 2021

Organization subpart

Yes

Parent organization

CITY OF TACOMAAs reported in NPPES

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

Authorized official

Name

Shannon Collazo

Title

Lead CSR

Phone

(253) 591-2044

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

Tax ID family

Family Clinic3 organizations share this tax ID, including this one

Part of

Family Clinic

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• City of Tacoma

  • Land Ambulance
  • Tacoma, WA
  • NPI 1477645414
  NPD tax ID
• City of Tacoma

  • Case Management Agency
  • Tacoma, WA
  • NPI 1841088747
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• City of Tacoma

  • Case Management Agency
  • Tacoma, WA
  • NPI 1841088747
  NPPES parent name

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1386211894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025605",
            "telephone_number": "253-591-5737",
            "fax_number": "253-591-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025605",
            "telephone_number": "253-591-5737",
            "fax_number": "253-591-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TFD CARES/BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF TACOMA",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "LEAD  CSR",
        "authorized_official_telephone_number": "253-591-2044"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G001002016",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0056986",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9032715",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "590007108",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tfdbilling@cityoftacoma.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "901 Fawcett Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984025605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tetra Counseling LLC
• Garrett W Teuscher, DO
• Ryan Matthew Tevis, COTA/L
• Kiley E Tevlin, PA-C
• Praful Tewari, M.D.
• Boray Thach, DNP, PMHNP-BC
• Cris Thach, PHARMD
• Thavi T Thach, ARNP
• Kristin June Braden Thai, DO
• Renee Quyen-Ngan Thai, MD

• Land Ambulance in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.