Organization Active NPI

Center for Assessment & Therapy Services PS

  • Addiction Psychiatry Physician
  • Bothell, WA
National Provider Identifier
1649461740
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
CENTER FOR ASSESSMENT & THERAPY SERVICES PS
Practice address
10634 E Riverside Dr
Suite 130
Bothell, WA 98011-3757
Phone
(425) 533-5487
NPI assigned
Aug 5, 2007
Last updated
Nov 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Rebecca Lyn Peterson
Title
Business Manager
Phone
(425) 533-5487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X NU Primary

Addresses

Primary practice location

10634 E Riverside Dr
Suite 130
Bothell, WA 98011-3757

Mailing address

10634 E Riverside Dr
Suite 130
Bothell, WA 98011-3757
Phone (425) 533-5487

Other identifiers 1

IdentifierTypeStateIssuer
1113067MedicaidWA

National Provider Directory

National Provider Directory

Locations

10634 E Riverside Dr
Ste 1
Bothell, WA 98011
Phone (425) 939-7934

10634 E Riverside Dr
Ste 110
Bothell, WA 98011
Phone (425) 806-5021

Practitioners & affiliated clinicians

Practitioners 1

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1649461740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10634 E RIVERSIDE DR",
            "address_2": "SUITE 130",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113757",
            "telephone_number": "425-533-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10634 E RIVERSIDE DR",
            "address_2": "SUITE 130",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113757",
            "telephone_number": "425-533-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ASSESSMENT & THERAPY SERVICES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "425-533-5487"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1113067",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.