NPIMap

Organization Active NPI

Muckleshoot Behavioral Health

  • Community/Behavioral Health Agency
  • Auburn, WA
National Provider Identifier
1669826533
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CP60099083 Issued in WA
Legal business name
MUCKLESHOOT BEHAVIORAL HEALTH
Practice address
17813 SE 392ND St
Auburn, WA 98092-9126
Phone
(253) 804-8752
Fax
(253) 333-3628
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Kat Goodwin- Snyder, CAC
Title
Health Manager
Phone
(253) 939-6648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CP60099083 WA Primary

Addresses

Primary practice location

17813 SE 392ND St
Auburn, WA 98092-9126

Mailing address

17813 SE 392ND St
Auburn, WA 98092-9126
Phone (253) 804-8752

National Provider Directory

National Provider Directory
Tax ID family
Muckleshoot Indian Heal3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17813 SE 392nd St
Auburn, WA 98092
Phone (253) 508-4511

Practitioners & affiliated clinicians

Practitioners 8

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": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1669826533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17813 SE 392ND ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980929126",
            "telephone_number": "253-804-8752",
            "fax_number": "253-333-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17813 SE 392ND ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980929126",
            "telephone_number": "253-804-8752",
            "fax_number": "253-333-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUCKLESHOOT BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "GOODWIN- SNYDER",
        "authorized_official_first_name": "KAT",
        "authorized_official_title_or_position": "HEALTH MANAGER",
        "authorized_official_telephone_number": "253-939-6648",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CP60099083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.