NPIMap

Organization Active NPI

Cardon and Associates

Doing business as Fidalgo Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anacortes, WA
National Provider Identifier
1841704814
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
OP60248624 Issued in WA
Legal business name
CARDON AND ASSOCIATES
Doing business as
Fidalgo Behavioral Health
Practice address
601 O Ave
Anacortes, WA 98221-1753
Phone
(360) 755-3474
Fax
(877) 241-4344
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Dr. Nathanael Ward Cardon, DONPI 1861606360
Title
Provider, Sole Member
Phone
(360) 755-3474

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OP60248624 WA Primary

Addresses

Primary practice location

601 O Ave
Anacortes, WA 98221-1753

Mailing address

PO Box 1318
Anacortes, WA 98221-6318

Other names 1

  • Fidalgo Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200212001438 WA Part B Supplier - Clinic/Group Practice 5193151033 Receives reassigned benefits from 4 practitioners
Practice locations: Anacortes, WA

National Provider Directory

National Provider Directory

Locations

601 O Ave
Ste B
Anacortes, WA 98221
Phone (360) 755-3474

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1841704814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1318",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982216318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 O AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211753",
            "telephone_number": "360-755-3474",
            "fax_number": "877-241-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDON AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "NATHANAEL",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "PROVIDER, SOLE MEMBER",
        "authorized_official_telephone_number": "360-755-3474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "OP60248624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fidalgo Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.