Organization Active NPI

John Slightam MD Inc.

  • Mental Health Counselor
  • Normandy Park, WA
National Provider Identifier
1821481375
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
603-414-473 Issued in WA
Legal business name
JOHN SLIGHTAM MD INC.
Practice address
19987 1St Ave S
Suite 101
Normandy Park, WA 98148-2400
Phone
(206) 824-5554
Fax
(206) 824-5550
NPI assigned
Mar 9, 2015
Organization subpart
Yes
Parent organization
JOHN SLIGHTAM MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. John David Slightam, M.D.
Title
President
Phone
(206) 824-5554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 603-414-473 WA Primary

Addresses

Primary practice location

19987 1St Ave S
Suite 101
Normandy Park, WA 98148-2400

Mailing address

19987 1St Ave S
Suite 101
Normandy Park, WA 98148-2400

National Provider Directory

National Provider Directory
Tax ID family
John Slightam MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1821481375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19987 1ST AVE S",
            "address_2": "SUITE 101",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19987 1ST AVE S",
            "address_2": "SUITE 101",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482400",
            "telephone_number": "206-824-5554",
            "fax_number": "206-824-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SLIGHTAM MD INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN SLIGHTAM MD",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "SLIGHTAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-824-5554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "603-414-473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.