Active NPI
Nami Southwest Washington
Doing business as NAMI SW WA; NAMI Clark County
- Community/Behavioral Health Agency
- Vancouver, WA
National Provider Identifier
1710377940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NAMI SOUTHWEST WASHINGTON
- Doing business as
- NAMI SW WA; NAMI Clark County
- Practice address
- 5411 E Mill Plain Blvd
Suite 4
Vancouver, WA 98661-7046 - Phone
- (360) 695-2823
- Fax
- (360) 823-1088
- NPI assigned
- Jan 26, 2015
- Last updated
- Sep 2, 2016
- 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
- Ms. Peggy M McCarthy, MBA
- Title
- Executive Director
- Phone
- (360) 695-2823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
5411 E Mill Plain Blvd
Suite 4
Vancouver, WA 98661-7046
Mailing address
5411 E Mill Plain Blvd
Suite 4
Vancouver, WA 98661-7046
Phone (360) 695-2823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2054003 | Medicaid | WA |
Other names 1
- NAMI SW WA; NAMI Clark County
National Provider Directory
National Provider DirectoryLocations
5411 E Mill Plain Blvd
Ste 4
Vancouver, WA 98661
Phone (360) 695-2823
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Vancouver, WA
- NPI 1801197843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472774400000",
"number": "1710377940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411 E MILL PLAIN BLVD",
"address_2": "SUITE 4",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617046",
"telephone_number": "360-695-2823",
"fax_number": "360-823-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 E MILL PLAIN BLVD",
"address_2": "SUITE 4",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617046",
"telephone_number": "360-695-2823",
"fax_number": "360-823-1088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAMI SOUTHWEST WASHINGTON",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-26",
"last_updated": "2016-09-02",
"status": "A",
"authorized_official_last_name": "MCCARTHY",
"authorized_official_first_name": "PEGGY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "360-695-2823",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2054003",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NAMI SW WA; NAMI Clark County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.