North Sound Behavioral Health Administrative Services Organization LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTH SOUND BEHAVIORAL HEALTH ADMINISTRATIVE SERVICES ORGANIZATION LLC

Practice address

301 Valley Mall Way Ste 110
Mount Vernon, WA 98273-5462

Phone

(360) 416-7013

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Charles Deelena, MBA, MHA, CPHQ

Title

Compliance Officer/Project Manager

Phone

(360) 416-7013

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• North Sound Regional Support Network Former legal business name
• North Sound Behavioral Health Organization Other name

Locations

Practitioners 2

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

• Margaret M Ackerman, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Vernon, WA
  • NPI 1972723906
  NPD (past)
• Michael White

  • Health Information Technician
  • Burlington, WA
  • NPI 1215383104
  NPD (past)

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1689294563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 VALLEY MALL WAY STE 110",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735462",
            "telephone_number": "360-416-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VALLEY MALL WAY STE 110",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735462",
            "telephone_number": "360-416-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SOUND BEHAVIORAL HEALTH ADMINISTRATIVE SERVICES ORGANIZATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "DEELENA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER/PROJECT MANAGER",
        "authorized_official_telephone_number": "360-416-7013",
        "authorized_official_credential": "MBA, MHA, CPHQ"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105020903",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Sound Regional Support Network",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "North Sound Behavioral Health Organization",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North Cascade Eye Associates PS
• North Cascade Eye Associates PS
• North Cascade Recovery
• North Cascade Women'S Clinic PS
• North End Medical Professional Corporation
• North Star Medical Imaging PLLC
• Deborah A. North, MD
• Northwest Asthma & Allergy Center
• Northwest Center for Sports Medicine & Physical Therapy Inc
• Northwest Chiropractic Clinic PS

• Community/Behavioral Health Agency in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.