Tamarack Center

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

RTF-1068 Issued in WA

Legal business name

TAMARACK CENTER

Practice address

2901 W Fort George Wright Dr
Spokane, WA 99224-5202

Phone

(509) 326-8100

Fax

(509) 326-9358

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tim Davis, M.S.

Title

Executive Director

Phone

(509) 326-8100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Woltemath, MSW

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1376702894
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1679613905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W FORT GEORGE WRIGHT DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992245202",
            "telephone_number": "509-326-8100",
            "fax_number": "509-326-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W FORT GEORGE WRIGHT DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992245202",
            "telephone_number": "509-326-8100",
            "fax_number": "509-326-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARACK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-326-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "WA",
            "license": "RTF-1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Tallent, MOT OTR/L
• Jason Dean Talley, PHARMD.
• Jessica Pomfret Talley, MPT
• Cindy Lorraine Talon-Kayne, RN, CWS
• Vera H Talseth, ARNP
• Stephanie Tambolleo
• Tami Haley Licsw
• Kelly Ann Tanaka, PHARMD
• Roger Raymond Tangeman, DC
• William Anthony Tangi Jr., CDP

• Psychiatric Residential Treatment Facility in Spokane, WA
• Providers in Spokane, WA by specialty
• Psychiatric Residential Treatment Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.