Active NPI
Plymouth Healing Communities
- Case Management Agency
- Seattle, WA
National Provider Identifier
1861961765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 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 DirectoryLocations
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.