NPIMap

Organization Active NPI

Side Street Centre

  • Community/Behavioral Health Agency
  • Burien, WA
National Provider Identifier
1780922625
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
603222181 Issued in WA
Legal business name
SIDE STREET CENTRE
Practice address
445 SW 152ND St
Burien, WA 98166-2208
Phone
(206) 242-4084
Fax
(206) 242-4084
NPI assigned
Jan 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Amanda Jill ChristensonNPI 1689910531
Title
Owner/Administrator
Phone
(206) 242-4084

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
Community/Behavioral Health Agency 251S00000X 603222181 WA Primary

Addresses

Primary practice location

445 SW 152ND St
Burien, WA 98166-2208

Mailing address

445 SW 152ND St
Burien, WA 98166-2208
Phone (206) 242-4084

National Provider Directory

National Provider Directory

Locations

445 SW 152nd St
Burien, WA 98166
Phone (206) 242-4084

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1780922625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662208",
            "telephone_number": "206-242-4084",
            "fax_number": "206-242-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662208",
            "telephone_number": "206-242-4084",
            "fax_number": "206-242-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDE STREET CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "206-242-4084"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "603222181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.