Mountainside Psychiatric Services

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

MOUNTAINSIDE PSYCHIATRIC SERVICES

Practice address

10209 Bridgeport Way SW
Suite D 10
Lakewood, WA 98499-2320

Phone

(253) 460-9414

Fax

(253) 460-0999

NPI assigned

Aug 12, 2006

Last updated

Aug 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Hughes Potter, MN, ARNPNPI 1881606895

Title

Owner/Operator

Phone

(253) 460-9414

Specialties & licenses 1

Addresses

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.

• Kathleen Hughes Potter, MN ARNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Dover, DE
  • NPI 1881606895
  NPD (past) Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1518979434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 BRIDGEPORT WAY SW",
            "address_2": "SUITE D 10",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992326",
            "telephone_number": "253-460-9414",
            "fax_number": "253-460-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 BRIDGEPORT WAY SW",
            "address_2": "SUITE D 10",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992320",
            "telephone_number": "253-460-9414",
            "fax_number": "253-460-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "HUGHES",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "253-460-9414",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MN, ARNP"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maranda Morton
• Regina Kay Mosby
• Frederick David Moser, M.D.
• Melissa Moss
• Maryam Mostaghni Yazdi, ARNP
• Alimatou Moustapha, ARNP, PMHNP
• Mso Washington, Inc. (The Home Doctor)
• Emily Njeri Muchemi
• Waweru Mugwe, RN
• Catherine Leah Muita

• Preferred Provider Organization in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.