Organization Active NPI

Affordable Substance Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Everett, WA
National Provider Identifier
1831579614
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
601050462 Issued in WA
Legal business name
AFFORDABLE SUBSTANCE HEALTH SERVICES
Practice address
1316 Wall St Ste 2C
Everett, WA 98201-3942
Phone
(425) 212-9877
Fax
(425) 789-1487
NPI assigned
Jun 5, 2015
Last updated
Jun 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Ann Cynthia McDonald, CDPNPI 1053791830
Title
Owner
Phone
(425) 212-9877

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 601050462 WA Primary

Addresses

Primary practice location

1316 Wall St Ste 2C
Everett, WA 98201-3942

Mailing address

1316 Wall St Ste 2C
Everett, WA 98201-3942
Phone (425) 212-9877

National Provider Directory

National Provider Directory

Locations

1316 Wall St
Ste 2C
Everett, WA 98201
Phone (425) 212-9877

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1831579614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 WALL ST STE 2C",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013942",
            "telephone_number": "425-212-9877",
            "fax_number": "425-789-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 WALL ST STE 2C",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013942",
            "telephone_number": "425-212-9877",
            "fax_number": "425-789-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE SUBSTANCE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-212-9877",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "601050462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.