NPIMap

Organization Active NPI

Cascade Psychiatric Services, PSC

  • Specialist
  • Everett, WA
National Provider Identifier
1770737934
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CASCADE PSYCHIATRIC SERVICES, PSC
Practice address
3802 Broadway Ste B
Everett, WA 98201-5032
Phone
(425) 259-6665
Fax
(425) 259-6014
NPI assigned
Nov 13, 2008
Last updated
Nov 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Dr. Wolfgang W Klamp, PH.D., MBA
Title
Chief Operating Officer
Phone
(425) 259-6665

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X AP30007181 WA
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X MD00023385 WA
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X MD00045550 WA
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X MD00009424 WA
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X AP30007788 WA
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X MD00035512 WA
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X MD00042238 WA
Geriatric Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0805X MD00037882 WA
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X PA10003235 WA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X AP30007333 WA

Addresses

Primary practice location

3802 Broadway Ste B
Everett, WA 98201-5032

Mailing address

3802 Broadway Ste B
Everett, WA 98201-5032
Phone (425) 259-6665

Other identifiers 10

IdentifierTypeStateIssuer
1073575601OtherWACMS
1134178882OtherWACMS
1144276759OtherWACMS
1417920810OtherWACMS
1972632560OtherWACMS
1013009273OtherWACMS
1114077138OtherORCMS
1902097355OtherWACMS
1275724627OtherWACMS
1477713113OtherWACMS

National Provider Directory

National Provider Directory

Locations

3802 Broadway
#B
Everett, WA 98201
Phone (425) 259-0855

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1770737934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 BROADWAY STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982015032",
            "telephone_number": "425-259-6665",
            "fax_number": "425-259-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 BROADWAY STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982015032",
            "telephone_number": "425-259-6665",
            "fax_number": "425-259-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE PSYCHIATRIC SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "KLAMP",
        "authorized_official_first_name": "WOLFGANG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "425-259-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., MBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "AP30007181",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "MD00023385",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "MD00045550",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "MD00009424",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "AP30007788",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "MD00035512",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00042238",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "WA",
            "license": "MD00037882",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003235",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30007333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1073575601",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1134178882",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1144276759",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1417920810",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1972632560",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1013009273",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1114077138",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1902097355",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1275724627",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1477713113",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.