NPIMap

Organization Active NPI

Department of Social and Health Services

  • Psychiatric Residential Treatment Facility
  • Burien, WA
National Provider Identifier
1467285163
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Doing business as
Lake Burien Transitional Care Facility
Practice address
1043 SW 152ND St
Burien, WA 98166
Phone
(206) 690-3800
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Gregory Parada, MD
Title
Executive Medical Officer, Lake Bur
Phone
(360) 890-5717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

1043 SW 152ND St
Burien, WA 98166

Mailing address

1043 SW 152ND St
Burien, WA 98166

Other names 1

  • Lake Burien Transitional Care Facility Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2318551Lake Burien Transitional Care Facility1043 SW 152ND St, Seattle, WA 98166Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Lynden School District16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

1043 SW 152nd St
Burien, WA 98166
Phone (206) 690-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Ismaila Tunkara
    • Psychiatric/Mental Health Nurse Practitioner
    • Burien, WA
    • NPI 1225550288
    NPD

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1467285163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "98166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "98166",
            "telephone_number": "206-690-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "PARADA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "EXECUTIVE MEDICAL OFFICER, LAKE BUR",
        "authorized_official_telephone_number": "360-890-5717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Burien Transitional Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.