Opal Clinic for Eating Disorders

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

271 Issued in WA

Legal business name

OPAL CLINIC FOR EATING DISORDERS

Practice address

1100 NE 45TH St Ste 600
Seattle, WA 98105-4696

Phone

(206) 673-7105

NPI assigned

Dec 20, 2011

Last updated

Dec 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Church, RD, CDNPI 1952463176

Title

Nutrition Director

Phone

(206) 926-9087

Specialties & licenses 1

Addresses

Locations

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.

• Julie A. Church, RD

  • Registered Dietitian
  • Seattle, WA
  • NPI 1952463176
  NPD Authorized official

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1801165972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NE 45TH ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054696",
            "telephone_number": "206-926-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NE 45TH ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054696",
            "telephone_number": "206-673-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL CLINIC FOR EATING DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "NUTRITION DIRECTOR",
        "authorized_official_telephone_number": "206-926-9087",
        "authorized_official_credential": "RD, CD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Ontiveros, LICSW
• Patrick Onuchukwu
• Dilara Canan Onur, MD, MS
• Ticara Leoni Onyewuenyi, MD, MPH
• Opa Ortho PLLC
• Hope Nkechinyelu Opara, MD
• Praise Opara, M.D.
• Douglas J. Opel
• Rachel Opel, M.D.
• Open Arms Perinatal Services

• Community/Behavioral Health Agency in Seattle, WA
• Providers in Seattle, 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 Dec 11, 2024; 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.