Organization Active NPI

Vest Seattle, LLC

Doing business as Smokey Point Behavioral Hospital

  • Psychiatric Hospital
  • Marysville, WA
National Provider Identifier
1679020150
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
VEST SEATTLE, LLC
Doing business as
Smokey Point Behavioral Hospital
Practice address
3955 156TH Street NE
Marysville, WA 98271-4831
Phone
(360) 651-6400
Fax
(360) 651-5981
NPI assigned
Sep 1, 2016
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Dr. Richard Kresch, MD
Title
Manager
Phone
(212) 243-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

3955 156TH Street NE
Marysville, WA 98271-4831

Mailing address

3955 156TH Street NE
Marysville, WA 98271-4831
Phone (360) 651-6400

Other names 1

  • Smokey Point Behavioral Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, GA, FL, TX5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20170404001183 WA Part A Provider - Hospital 7416233549 Practice locations: Marysville, WA
O20170606001548 WA Part B Supplier - Clinic/Group Practice 7416233549 Receives reassigned benefits from 28 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marysville, WA
O20210805001954 GA Part B Supplier - Clinic/Group Practice 7416233549 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Monroe, GA; Smyrna, GA
O20220516001814 FL Part B Supplier - Clinic/Group Practice 7416233549 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Clearwater, FL
O20220718003783 TX Part B Supplier - Clinic/Group Practice 7416233549 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Haslet, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679020150. Details of each certification follow.

Hospital certification: CCN 504012

Legal name
VEST SEATTLE LLC
Doing business as
SMOKEY POINT BEHAVIORAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Sep 12, 2017
Last certification
Sep 12, 2017
Beds
115
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Mar 8, 2013 in DE
Enrollment address
3955 156TH St NE
Marysville, WA 98271-4831
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Smokey Point Behavioral HospitalCCN 504012 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
F-Prime Capital Partners HC Cambridge Fund III LP Organization, Cambridge, MA 5% Or Greater Indirect Ownership Interest Jun 26, 2017 9.9%
US Healthvest, LLC Organization, New York, NY For-profit 5% Or Greater Direct Ownership Interest Jun 26, 2017 100%
Richard a Kresch Individual 5% Or Greater Indirect Ownership Interest Jun 26, 2017 13.6%
Corporate OfficerManager Jun 26, 2017
Corporate DirectorBoard Member Jun 26, 2017
W-2 Managing EmployeeManager Jan 1, 2022
James Cha Individual Corporate DirectorBoard Member Jun 26, 2017
Oak HC/Ft Ushv Blocker Corp Organization, Greenwich, CT For-profit 5% Or Greater Indirect Ownership Interest Jun 26, 2017 9.1%
PP VII US Healthvest Inc Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Jun 26, 2017 5.6%
PVP US Healthvest, Inc Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Jun 26, 2017 28.4%
F-Prime Capital Partners HC International Fund III LP Organization, Cambridge, MA 5% Or Greater Indirect Ownership Interest Jun 26, 2017 5.3%

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1679020150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 156TH STREET NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714831",
            "telephone_number": "360-651-6400",
            "fax_number": "360-651-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 156TH STREET NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714831",
            "telephone_number": "360-651-6400",
            "fax_number": "360-651-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEST SEATTLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "KRESCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-243-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smokey Point Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

Verify at the official NPI Registry.