Organization Active NPI

Pacific Ridge Intensive Behavioral Health

  • Community/Behavioral Health Agency
  • Tacoma, WA
National Provider Identifier
1831003987
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PACIFIC RIDGE INTENSIVE BEHAVIORAL HEALTH
Practice address
3701 Pacific Ave
Tacoma, WA 98418-7838
Phone
(253) 921-0364
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Dr. Boray Thach, DNP, PMHNP-BC
Title
Medical Director
Phone
(253) 921-0364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3701 Pacific Ave
Tacoma, WA 98418-7838

Mailing address

3701 Pacific Ave
Tacoma, WA 98418-7838

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1831003987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187838",
            "telephone_number": "253-921-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RIDGE INTENSIVE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "THACH",
        "authorized_official_first_name": "BORAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "253-921-0364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.