NPIMap

Organization Active NPI

Ukrainian Community Center of Washington

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
National Provider Identifier
1487177143
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
200132 Issued in WA
Legal business name
UKRAINIAN COMMUNITY CENTER OF WASHINGTON
Practice address
13470 Martin Luther King Jr Way S
Seattle, WA 98178-5210
Phone
(425) 430-8229
Fax
(425) 336-2785
NPI assigned
Jul 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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

Authorized official

Name
Andrew Orest Kritovich, LMHC
Title
Deputy Executive Director
Phone
(425) 430-8229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 200132 WA Primary

Addresses

Primary practice location

13470 Martin Luther King Jr Way S
Seattle, WA 98178-5210

Mailing address

17701 108TH Ave SE # 336
Renton, WA 98055-6448
Phone (425) 430-8229

National Provider Directory

National Provider Directory

Locations

13470 Martin Luther King Jr Way S
Seattle, WA 98178
Phone (425) 430-8229

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1487177143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17701 108TH AVE SE # 336",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556448",
            "telephone_number": "425-430-8229",
            "fax_number": "425-336-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13470 MARTIN LUTHER KING JR WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981785210",
            "telephone_number": "425-430-8229",
            "fax_number": "425-336-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UKRAINIAN COMMUNITY CENTER OF WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "KRITOVICH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "OREST",
        "authorized_official_title_or_position": "DEPUTY EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-430-8229",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "200132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.