NPIMap

Organization Active NPI

Children's Center

  • Adolescent and Children Mental Health Clinic/Center
  • Vancouver, WA
National Provider Identifier
1407870108
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
217 Issued in WA
Legal business name
CHILDREN'S CENTER
Practice address
13500 SE 7TH St
Vancouver, WA 98683-6909
Phone
(360) 699-2244
Fax
(360) 699-1900
NPI assigned
Jul 26, 2006
Last updated
Jul 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Matthew Butte
Title
Executive Director
Phone
(360) 699-2244

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 217 WA
Clinical Social Worker 1041C0700X 217 WA
Marriage & Family Therapist 106H00000X 217 WA
Psychiatry Physician 2084P0800X 217 WA
Child & Adolescent Psychiatry Physician 2084P0804X 217 WA
Case Management Agency 251B00000X 217 WA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 217 WA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 217 WA Primary

Addresses

Primary practice location

13500 SE 7TH St
Vancouver, WA 98683-6909

Mailing address

13500 SE 7TH St
Vancouver, WA 98683-6909
Phone (360) 699-2244

Other practice location 1

11117 NE 189th St Ste 301
Battle Ground, WA 98604-6244
Phone (360) 699-2244

Other identifiers 1

IdentifierTypeStateIssuer
1980325MedicaidWA

National Provider Directory

National Provider Directory

Locations

11117 NE 189th St
Ste 301
Battle Ground, WA 98604
Phone (360) 699-2244

13500 SE 7th St
Vancouver, WA 98683
Phone (360) 699-2244

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/thechildrenscenter/r4/

Practitioners & affiliated clinicians

Practitioners 91

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.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1407870108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 SE 7TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986836909",
            "telephone_number": "360-699-2244",
            "fax_number": "360-699-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 SE 7TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986836909",
            "telephone_number": "360-699-2244",
            "fax_number": "360-699-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11117 NE 189th St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Battle Ground",
            "state": "WA",
            "postal_code": "986046244",
            "country_code": "US",
            "telephone_number": "360-699-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-07-01",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "BUTTE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-699-2244"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "217",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "217",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "217",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "217",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "217",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "217",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "217",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": "217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980325",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.