NPIMap

Organization Active NPI

La Clinica Noroeste de Comportamientos Modificados

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Yakima, WA
National Provider Identifier
1609071588
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
39132900 Issued in WA
Legal business name
LA CLINICA NOROESTE DE COMPORTAMIENTOS MODIFICADOS
Practice address
917 Pitcher St
Yakima, WA 98901-3063
Phone
(509) 457-8554
Fax
(509) 225-4682
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Javier Manuel Galindo, CDPNPI 1922064120
Title
Clinical Director
Phone
(509) 457-8554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 39132900 WA Primary

Addresses

Primary practice location

917 Pitcher St
Yakima, WA 98901-3063

Mailing address

917 Pitcher St
Yakima, WA 98901-3063
Phone (509) 457-8554

National Provider Directory

National Provider Directory

Locations

917 Pitcher St
Yakima, WA 98901
Phone (509) 457-8554

Practitioners & affiliated clinicians

Practitioners 2

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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609071588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 PITCHER ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989013063",
            "telephone_number": "509-457-8554",
            "fax_number": "509-225-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 PITCHER ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989013063",
            "telephone_number": "509-457-8554",
            "fax_number": "509-225-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA NOROESTE DE COMPORTAMIENTOS MODIFICADOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALINDO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "509-457-8554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "39132900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • 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.