Island Behavioral Medicine, PS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60125307 Issued in WA

Legal business name

ISLAND BEHAVIORAL MEDICINE, PS

Doing business as

Island Behavioral Medicine

Practice address

3208 K Ave
Anacortes, WA 98221

Phone

(360) 682-5016

NPI assigned

May 18, 2015

Last updated

Jul 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Paula Louise Casey, L.M.F.T.NPI 1912153453

Title

Owner

Phone

(360) 682-5016

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Island Behavioral Medicine Doing business as

Locations

Practitioners 2

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.

• Paula Louise Casey, M.A., L.M.F.T.

  • Marriage & Family Therapist
  • Oak Harbor, WA
  • NPI 1912153453
  NPD Authorized official
• Amanda Markowski

  • Social Worker
  • Oak Harbor, WA
  • NPI 1538694237
  NPD (past)

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1447638853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982210378",
            "telephone_number": "360-682-5016",
            "fax_number": "360-682-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 K AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "98221",
            "telephone_number": "360-682-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND BEHAVIORAL MEDICINE, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-682-5016",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60428818",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60620631",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60395422",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60125307",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "OP60248624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8957249",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044886",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Behavioral Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island Behavioral Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Hudak, MD
• Jay L Huddleston, O.D.
• Kaylie Huynh, RPH
• Sunny Hwang-Oras, APRN
• Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy Anacortes)
• Island County Dermatology, PLLC (Island Skin Cancer Center)
• Island Eye Physicians & Surgeons
• Island Eye Physicians & Surgeons
• Island Health Consulting Inc
• Island Internal Medicine Inc P S

• Marriage & Family Therapist in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.