Active NPI
Royal Wa Sumner LLC
- Psychiatric Hospital
- Sumner, WA
National Provider Identifier
1477204683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- ROYAL WA SUMNER LLC
- Practice address
- 1723 Bonney Ave
Sumner, WA 98390-2129 - Phone
- (888) 468-3389
- NPI assigned
- Jan 11, 2022
- Last updated
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice Vaysberg
- Title
- Cfo
- Phone
- (847) 345-5541
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | ||
| Psychiatric Hospital | 283Q00000X | NU | Primary | |
| Substance Abuse Rehabilitation Facility | 324500000X | NU |
Addresses
Primary practice location
1723 Bonney Ave
Sumner, WA 98390-2129
Mailing address
1590 S Congress Ave
Palm Springs, FL 33406-5957
Phone (561) 562-6271
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Addiction Medicine (Internal Medicine) Physician
- Palm Springs, FL
- NPI 1003809450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1477204683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334065957",
"telephone_number": "561-562-6271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 BONNEY AVE",
"city": "SUMNER",
"state": "WA",
"postal_code": "983902129",
"telephone_number": "888-468-3389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL WA SUMNER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-11",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "VAYSBERG",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "847-345-5541"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumner, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.