NPIMap

Organization Active NPI

Social Treatment Opportunity Programs II, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shelton, WA
National Provider Identifier
1497080931
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC
Practice address
611 W Cota St
Shelton, WA 98584-2241
Phone
(360) 426-5654
Fax
(360) 426-5641
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Mr. Andrew L Tatum, MBA
Title
Administrator
Phone
(253) 471-0890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

611 W Cota St
Shelton, WA 98584-2241

Mailing address

PO Box 126
Shelton, WA 98584-0126
Phone (360) 426-5654

Other names 1

  • STOP Shelton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Social Treatment Opportunity Programs II Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

611 W Cota St
Shelton, WA 98584
Phone (360) 426-5654

Practitioners & affiliated clinicians

Practitioners 1

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": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1497080931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985840126",
            "telephone_number": "360-426-5654",
            "fax_number": "360-426-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W COTA ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842241",
            "telephone_number": "360-426-5654",
            "fax_number": "360-426-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-471-0890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STOP Shelton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STOP Shelton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.