NPIMap

Organization Active NPI

Northwest Center - Child Development Program

  • Occupational Therapist
  • Seatac, WA
National Provider Identifier
1710012547
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
NORTHWEST CENTER - CHILD DEVELOPMENT PROGRAM
Practice address
1840 S 144TH St
Seatac, WA 98168-3702
Phone
(206) 285-9140
Fax
(206) 764-8273
NPI assigned
Feb 22, 2007
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Lori Dolan
Title
Controller
Phone
(206) 285-9140

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1840 S 144TH St
Seatac, WA 98168-3702

Mailing address

7272 W Marginal Way S
Seattle, WA 98108
Phone (206) 285-9140

Other identifiers 1

IdentifierTypeStateIssuer
1026246MedicaidWA

Other names 1

  • Northwest Center for the Retarded Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Northwest Center2 organizations share this tax ID, including this one
Part of
Northwest Center

Other organizations with this tax ID 1

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

Locations

1119 SW 7th St
Renton, WA 98057
Phone (206) 378-6343

1840 S 144th St
Seatac, WA 98168
Phone (206) 285-9140

2919 1st Ave W
Seattle, WA 98119
Phone (206) 286-2322

7272 W Marginal Way S
Seattle, WA 98108
Phone (206) 285-9140

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1710012547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 W MARGINAL WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98108",
            "telephone_number": "206-285-9140",
            "fax_number": "206-764-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S 144TH ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981683702",
            "telephone_number": "206-285-9140",
            "fax_number": "206-764-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CENTER - CHILD DEVELOPMENT PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST CENTER",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-09-02",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "206-285-9140"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026246",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Center for the Retarded",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Seatac, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.