NPIMap

Organization Active NPI

LDS Family Services

Doing business as LDS Family Services WA Spokane Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane Valley, WA
National Provider Identifier
1588876064
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
134514 Issued in WA
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services WA Spokane Agency
Practice address
100 N Mullan Rd
Suite 202
Spokane Valley, WA 99206-6848
Phone
(509) 926-6581
Fax
(509) 921-6770
NPI assigned
May 4, 2007
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mr. Patrick William Cabbage, LICSWNPI 1720204092
Title
Agency Director
Phone
(509) 926-6581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 134514 WA Primary

Addresses

Primary practice location

100 N Mullan Rd
Suite 202
Spokane Valley, WA 99206-6848

Mailing address

11707 E Sprague Ave
Suite 202
Spokane Valley, WA 99206-6110
Phone (509) 926-6581

Other names 1

  • LDS Family Services WA Spokane Agency Doing business as

National Provider Directory

National Provider Directory
Part of
LDS Family Services

Locations

100 N Mullan Rd
Ste 202
Spokane Valley, WA 99206
Phone (509) 926-6581

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1588876064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 E SPRAGUE AVE",
            "address_2": "SUITE 202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066110",
            "telephone_number": "509-926-6581",
            "fax_number": "509-921-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MULLAN RD",
            "address_2": "SUITE 202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066848",
            "telephone_number": "509-926-6581",
            "fax_number": "509-921-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "CABBAGE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "509-926-6581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "134514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services WA Spokane Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.