Community Allied Behavioral Health

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

21155800 Issued in WA

Legal business name

COMMUNITY ALLIED BEHAVIORAL HEALTH

Practice address

1787 NE Kresky Ave
Chehalis, WA 98532-2302

Phone

(360) 748-4339

Fax

(360) 748-3349

NPI assigned

Mar 7, 2012

Organization subpart

Yes

Parent organization

COMMUNITY ALLIED BEHAVIORAL HEALTHAs reported in NPPES

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

Authorized official

Name

Mrs. Malinda G Greenwood

Title

Administrative Manager

Phone

(360) 748-4393

Specialties & licenses 1

Addresses

Other names 1

• CABH Other name

Part of

Community Allied Behavioral Health

Locations

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1649544693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 NE KRESKY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322302",
            "telephone_number": "360-748-4339",
            "fax_number": "360-748-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 NE KRESKY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322302",
            "telephone_number": "360-748-4339",
            "fax_number": "360-748-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ALLIED BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ALLIED BEHAVIORAL HEALTH",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "360-748-4393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "21155800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CABH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melinda Ann Close
• Rochelle Deanne Cochrane, M.D.
• Yolanda Raquel Colby, CP 60605910
• Andrew Jay Cole, DDS
• Tamara Annette Cole
• Zachary Cameron Condon, MD
• Ariel Marie Cook, LMT
• Michael Thomas Cook, MD
• Thomas R Cooke, D.O.
• Amanda Michelle Cordero, DMD

• Clinic/Center in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.