Sidewalk

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SIDEWALK

Practice address

225 State Ave NE
Olympia, WA 98501-6951

Phone

(360) 515-5587

NPI assigned

Jun 19, 2019

Last updated

Jun 19, 2019By 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

Philip Owen

Title

Executive Director

Phone

(360) 915-7306

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1629638861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 5TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011601",
            "telephone_number": "360-915-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 STATE AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985016951",
            "telephone_number": "360-515-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDEWALK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-915-7306"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jabi Elijah Shriki, M.D.
• Tamara Janel Rosser Shultz, LMFT
• Devin Shuman, MS
• Noah Nathaniel Shute
• Martina K Sickels, MENTAL HEATH ASSOCC
• Elizabeth H Siegel, ARNP
• Jeremiah Joseph Siegfried
• Arthur David Siek, M.D.
• Heather Irene Siems, LMP
• Sigafoos & Witcher Counseling Services

• Case Management Agency in Olympia, WA
• Providers in Olympia, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.