NPIMap

Organization Active NPI

Touchstone Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Blaine, WA
National Provider Identifier
1881942035
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TOUCHSTONE BEHAVIORAL HEALTH, LLC
Practice address
288 Martin St.
Suite 100
Blaine, WA 98230
Phone
(360) 788-4228
Fax
(360) 778-1423
NPI assigned
Aug 20, 2012
Last updated
Jan 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Dr. Erika Kristina Gervol Creydt, MA, PSYDNPI 1942502778
Title
Clinical Director
Phone
(360) 990-3848

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
Community/Behavioral Health Agency 251S00000X WA Primary

Addresses

Primary practice location

288 Martin St.
Suite 100
Blaine, WA 98230

Mailing address

288 Martin St. Box 1
Blaine, WA 98230
Phone (360) 788-4228

Other names 1

  • Pacific Northwest Behavioral Health Clinic, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171130003061 WA Part B Supplier - Clinic/Group Practice 5597022475 Receives reassigned benefits from 3 practitioners
Practice locations: Blaine, WA

National Provider Directory

National Provider Directory
Tax ID family
Pacific Northwest Behavioral Health Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

288 Martin St
Ste 100
Blaine, WA 98230
Phone (360) 594-0767

Practitioners & affiliated clinicians

Practitioners 11

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": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1881942035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 MARTIN ST. BOX 1",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "98230",
            "telephone_number": "360-788-4228",
            "fax_number": "360-778-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 MARTIN ST.",
            "address_2": "SUITE 100",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "98230",
            "telephone_number": "360-788-4228",
            "fax_number": "360-778-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCHSTONE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "CREYDT",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "KRISTINA GERVOL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "360-990-3848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MA, PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Northwest Behavioral Health Clinic, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Blaine, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.