Active NPI
Develop Minded Therapies
- Home Health Agency
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DEVELOP MINDED THERAPIES
- Practice address
- 4040 S Tyler St Ste 9
Tacoma, WA 98409-2143 - Phone
- (253) 750-2664
- Fax
- (253) 215-4426
- NPI assigned
- Apr 9, 2018
- Last updated
- Aug 24, 2021
- Organization subpart
- Yes
- Parent organization
- DEVELOP MINDED THERAPIES HEALTH HOMES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dathan Lane
- Title
- Owner
- Phone
- (253) 750-2664
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
4040 S Tyler St Ste 9
Tacoma, WA 98409-2143
Mailing address
4040 S Tyler St Ste 9
Tacoma, WA 98409-2143
Phone (253) 750-2664
National Provider Directory
National Provider Directory- Tax ID family
- Develop Minded Therapies
- Part of
- Develop Minded Therapies
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Tacoma, WA
- NPI 1154828770
-
- Community/Behavioral Health Agency
- Tacoma, WA
- NPI 1497252019
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
- Tacoma, WA
- NPI 1629384375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629763200000",
"number": "1730686445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 S TYLER ST STE 9",
"city": "TACOMA",
"state": "WA",
"postal_code": "984092143",
"telephone_number": "253-750-2664",
"fax_number": "253-215-4426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 S TYLER ST STE 9",
"city": "TACOMA",
"state": "WA",
"postal_code": "984092143",
"telephone_number": "253-750-2664",
"fax_number": "253-215-4426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOP MINDED THERAPIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DEVELOP MINDED THERAPIES HEALTH HOMES",
"enumeration_date": "2018-04-09",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A",
"authorized_official_last_name": "LANE",
"authorized_official_first_name": "DATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-750-2664",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.