Organization Active NPI

Behavioral Health Collaborative

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1639685241
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEHAVIORAL HEALTH COLLABORATIVE
Practice address
10740 Meridian Ave N Ste 107
Seattle, WA 98133
Phone
(206) 432-9020
Fax
(206) 432-9437
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Dr. James Edward Lolley, PSYDNPI 1427474618
Title
Co-Owner
Phone
(206) 432-9020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY60345764 WA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X WA Primary

Addresses

Primary practice location

10740 Meridian Ave N Ste 107
Seattle, WA 98133

Mailing address

10740 Meridian Ave N Ste 107
Seattle, WA 98133-9010
Phone (206) 432-9020

Other practice location 1

2800 E Madison St Ste 304
Seattle, WA 98112-4865
Phone (206) 432-9020

Other practice location 2

509 Olive Way Ste 204
Seattle, WA 98101-1726
Phone (206) 329-5255 ext. 320

Other practice location 3

2800 E Madison St Ste 304
Seattle, WA 98112-4865
Phone (206) 432-9020

Other identifiers 3

IdentifierTypeStateIssuer
1427474618OtherINDIVIDUAL PROVIDER NPI
1962621284OtherINDIVIDUAL PROVIDER NPI
1639685241OtherGROUP NPI

Other names 2

  • James Lolley Other name
  • Tuesday Burns Other name

National Provider Directory

National Provider Directory

Locations

2800 E Madison St
Ste 304
Seattle, WA 98112
Phone (206) 432-9020

10740 Meridian Ave N
Ste 107
Seattle, WA 98133
Phone (206) 432-9020

Practitioners & affiliated clinicians

Practitioners 1

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": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1639685241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 MERIDIAN AVE N STE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339010",
            "telephone_number": "206-432-9020",
            "fax_number": "206-432-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 MERIDIAN AVE N STE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98133",
            "telephone_number": "206-432-9020",
            "fax_number": "206-432-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 E Madison St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981124865",
            "country_code": "US",
            "telephone_number": "206-432-9020",
            "fax_number": "206-432-9437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Olive Way Ste 204",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011726",
            "country_code": "US",
            "telephone_number": "206-329-5255 x320",
            "fax_number": "206-432-9437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 E Madison St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981124865",
            "country_code": "US",
            "telephone_number": "206-432-9020",
            "fax_number": "206-432-9437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "LOLLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "206-432-9020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60345764",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1427474618",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1962621284",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1639685241",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James Lolley",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "James Lolley",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tuesday Burns",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.