Organization Active NPI

Plymouth Healing Communities

  • Case Management Agency
  • Seattle, WA
National Provider Identifier
1861961765
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PLYMOUTH HEALING COMMUNITIES
Practice address
1217 6TH Ave
Seattle, WA 98101-3107
Phone
(206) 755-4597
NPI assigned
Nov 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Chris Wilcynski
Title
Director of Community Services
Phone
(206) 349-6572

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1217 6TH Ave
Seattle, WA 98101-3107

Mailing address

1217 6TH Ave
Seattle, WA 98101-3107
Phone (206) 755-4597

National Provider Directory

National Provider Directory

Locations

1217 6th Ave
Seattle, WA 98101
Phone (206) 755-4597

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1861961765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 6TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013107",
            "telephone_number": "206-755-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 6TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013107",
            "telephone_number": "206-755-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH HEALING COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "WILCYNSKI",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY SERVICES",
        "authorized_official_telephone_number": "206-349-6572"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.