Greaterlakes Mental Health Care

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

LPOOO37369 Issued in WA

Legal business name

GREATERLAKES MENTAL HEALTH CARE

Practice address

6614 100TH St SW
Lakewood, WA 98499-1765

Phone

(253) 861-4610

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Amos Paxton Brinkley III

Title

LPN

Phone

(253) 861-4610

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598885790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8988",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984180961",
            "telephone_number": "253-861-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991765",
            "telephone_number": "253-861-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATERLAKES MENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRINKLEY",
        "authorized_official_first_name": "AMOS",
        "authorized_official_middle_name": "PAXTON",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "253-861-4610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WA",
            "license": "LPOOO37369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharaoh Grayson
• Greater Lakes
• Greater Lakes Mental Health
• Greater Lakes Mental Health Foundation Inc
• Greater Lakes Mental Healthcare
• Bryan Green
• Kayla Ariel Green
• Keishelle Green
• Nivea Green, HS
• Theresa Ann Green

• Nursing Care Agency in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Nursing Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.