Active NPI
Multicare Health System
Doing business as MultiCare Behavioral Health
- Community/Behavioral Health Agency
- Puyallup, WA
National Provider Identifier
1700925351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 051
- Legal business name
- MULTICARE HEALTH SYSTEM
- Doing business as
- MultiCare Behavioral Health
- Practice address
- 325 E. Pioneer
Puyallup, WA 98372-3265 - Phone
- (253) 697-8548
- Fax
- (253) 697-8598
- NPI assigned
- Feb 6, 2007
- Last updated
- Jun 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Vanderbush
- Title
- Recruiting Associate
- Phone
- (253) 403-7726
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | ||
| Clinical Neuropsychologist | 103G00000X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU | ||
| Family Psychologist | 103TF0000X | NU | ||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | NU | ||
| Rehabilitation Psychologist | 103TR0400X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| Clinical Neurophysiology Physician | 2084N0600X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | ||
| Addiction Psychiatry Physician | 2084P0802X | NU | ||
| Geriatric Psychiatry Physician | 2084P0805X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | 051 | WA | Primary |
| Prescribing (Medical) Psychologist | 103TP0016X | NU |
Addresses
Primary practice location
325 E. Pioneer
Puyallup, WA 98372-3265
Mailing address
325 E. Pioneer
Puyallup, WA 98372-3265
Phone (253) 697-8548
Other names 1
- MultiCare Behavioral Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000760 | WA | Part B Supplier - Clinic/Group Practice | 7719899897 |
Receives reassigned benefits from 4,909 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
325 E Pioneer
Puyallup, WA 98372
Phone (253) 445-8120
14016 A St S
Tacoma, WA 98444
Phone (253) 503-3649
521 S K St
Tacoma, WA 98405
Phone (253) 403-2900
Practitioners & affiliated clinicians
Practitioners 229
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.
-
- Family Medicine Physician
- Auburn, WA
- NPI 1750025037
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1497984918
-
- Medical Physician Assistant
- Seattle, WA
- NPI 1336618040
-
- Counselor
- Tacoma, WA
- NPI 1578745220
-
- Physical Therapist
- Lakewood, WA
- NPI 1043021736
-
- Women's Health Nurse Practitioner
- Federal Way, WA
- NPI 1174008106
-
- Family Nurse Practitioner
- Puyallup, WA
- NPI 1629600564
-
- Physical Medicine & Rehabilitation Physician
- Puyallup, WA
- NPI 1629276308
-
- Student in an Organized Health Care Education/Training Program
- Spokane, WA
- NPI 1669113247
-
- Medical Physician Assistant
- Spokane, WA
- NPI 1205354727
-
- Registered Dietitian
- Spokane, WA
- NPI 1215124466
-
- Counselor
- Auburn, WA
- NPI 1326528449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434672000000",
"number": "1700925351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 E. PIONEER",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723265",
"telephone_number": "253-697-8548",
"fax_number": "253-697-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E. PIONEER",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723265",
"telephone_number": "253-697-8548",
"fax_number": "253-697-8598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTICARE HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2015-06-19",
"status": "A",
"authorized_official_last_name": "VANDERBUSH",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "RECRUITING ASSOCIATE",
"authorized_official_telephone_number": "253-403-7726"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "051",
"primary": true
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MultiCare Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Puyallup, WA
- Multicare Health System (MultiCare Good Samaritan Hospital)
- Multicare Health System
- Multicare Health System
- Multicare Health System (Olympic Sports & Spine)
- Multicare Health System (Woodcreek Pediatrics by Mary Bridge Children's)
- Multicare Health System (MultiCare Good Samaritan Hospital)
- Multicare Health System (Olympic Sports & Spine)
- Multicare Health Systems (MultiCare Good Sam Outpatient Pharmacy)
- Multicare Health Systems (Good Samaritan Behavioral Health)
- Christy L Munro, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.