Charmd Behavioral & Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHARMD BEHAVIORAL & HEALTH LLC

Practice address

14920 Westminster Way N Ste 1a
Shoreline, WA 98133-6445

Phone

(206) 657-6301

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Charity Mendenhall

Title

Director

Phone

(915) 256-8059

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1790393221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14920 WESTMINSTER WAY N STE 1A",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336445",
            "telephone_number": "206-657-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14920 WESTMINSTER WAY N STE 1A",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336445",
            "telephone_number": "206-657-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4318 233rd Pl SE",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980219057",
            "country_code": "US",
            "telephone_number": "915-256-8059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARMD BEHAVIORAL & HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "MENDENHALL",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "915-256-8059"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "TYPE2",
            "affiliation": "N",
            "address_1": "4318 233rd Pl SE",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980219057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David L Chan, MD
• Yenson Monique Chang-Goit, LMFT
• Ching Sun Chang, RPH.
• Hong Chang
• Julia Charboneau, MSW, LSWAIC, CDP
• Barbara Chateaubriand, MASTER DEGREE
• Marcelina Chavez-Penner, LMHC
• Tierra Solana Chavez, LMP
• Chen-Ying Emily Chen, DMD
• Irene Chen, OD

• Community/Behavioral Health Agency in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.