NPIMap

Organization Active NPI

Kids at Play Therapy, LLC

  • Specialist
  • Sumner, WA
National Provider Identifier
1770819385
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
602939253 Issued in WA
Legal business name
KIDS AT PLAY THERAPY, LLC
Practice address
16501 64TH St E Ste D
Sumner, WA 98390-3001
Phone
(253) 447-8216
Fax
(253) 447-8789
NPI assigned
Nov 2, 2009
Last updated
Nov 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Mrs. Tanya L O'CallaghanNPI 1720277833
Title
Owner
Phone
(253) 447-8216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 602939253 WA Primary

Addresses

Primary practice location

16501 64TH St E Ste D
Sumner, WA 98390-3001

Mailing address

16501 64TH St E Ste D
Sumner, WA 98390-3001
Phone (253) 447-8216

National Provider Directory

National Provider Directory

Locations

2929 5th Ave NE
Ste A
Puyallup, WA 98372
Phone (253) 447-8216

16501 64th St E
Ste D
Sumner, WA 98390
Phone (253) 447-8216

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1770819385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501 64TH ST E STE D",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983903001",
            "telephone_number": "253-447-8216",
            "fax_number": "253-447-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 64TH ST E STE D",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983903001",
            "telephone_number": "253-447-8216",
            "fax_number": "253-447-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS AT PLAY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "O'CALLAGHAN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-447-8216",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "602939253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.