NPIMap

Organization Active NPI

Harborview Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
National Provider Identifier
1508989740
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
H-029 Issued in WA
Legal business name
HARBORVIEW MEDICAL CENTER
Practice address
325 9TH Ave
Seattle, WA 98104-2499
Phone
(206) 744-9620
Fax
(206) 744-9852
NPI assigned
Apr 10, 2007
Organization subpart
Yes
Parent organization
HARBORVIEW MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Ms. Sommer Kleweno Walley
Title
Interim Ceo
Phone
(206) 744-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X H-029 WA Primary
Adult Mental Health Clinic/Center 261QM0850X H-029 WA

Addresses

Primary practice location

325 9TH Ave
Seattle, WA 98104-2499

Mailing address

PO Box 34001
Seattle, WA 98124-1001
Phone (206) 598-1950

Other identifiers 3

IdentifierTypeStateIssuer
3500279MedicaidWA
7089931MedicaidWA
8929520OtherWACRIME VICTIMS PIN

National Provider Directory

National Provider Directory
Tax ID family
Harborview Medical Center17 organizations share this tax ID, including this one
Part of
Harborview Medical Center

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1508989740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34001",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241001",
            "telephone_number": "206-598-1950",
            "fax_number": "206-598-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042499",
            "telephone_number": "206-744-9620",
            "fax_number": "206-744-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORVIEW MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBORVIEW MEDICAL CENTER",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "WALLEY",
        "authorized_official_first_name": "SOMMER",
        "authorized_official_middle_name": "KLEWENO",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "206-744-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "H-029",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "H-029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3500279",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7089931",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS PIN",
            "identifier": "8929520",
            "state": "WA"
        }
    ],
    "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 Feb 25, 2021; 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.