Organization Active NPI

Associated Behavioral Health Care Inc

Doing business as DiscoveryMD, Bellevue

  • Addiction (Substance Use Disorder) Counselor
  • Bellevue, WA
National Provider Identifier
1891860920
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17081600 Issued in WA
Legal business name
ASSOCIATED BEHAVIORAL HEALTH CARE INC
Doing business as
DiscoveryMD, Bellevue
Practice address
1800 112TH Ave NE Ste 150W
Bellevue, WA 98004-2993
Phone
(714) 828-1800
Fax
(714) 882-1186
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Magdalen Gustilo
Title
Director of Payer Relations
Phone
(714) 568-7667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 17081600 WA Primary

Addresses

Primary practice location

1800 112TH Ave NE Ste 150W
Bellevue, WA 98004-2993

Mailing address

18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Phone (714) 828-1800

Other practice location 1

841 Central Ave N Ste C-215
Kent, WA 98032-2016
Phone (714) 828-1800

Other practice location 2

2111 N Northgate Way Ste 212
Seattle, WA 98133-9018
Phone (714) 828-1800

Other names 1

  • DiscoveryMD, Bellevue Doing business as

National Provider Directory

National Provider Directory

Locations

1800 112th Ave NE
Ste 150
Bellevue, WA 98004
Phone (425) 646-7279

2111 N Northgate Way
Ste 212
Seattle, WA 98133
Phone (206) 781-2661

Practitioners & affiliated clinicians

Practitioners 5

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1891860920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18401 VON KARMAN AVE STE 500",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128531",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE STE 150W",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042993",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Central Ave N Ste C-215",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980322016",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 N Northgate Way Ste 212",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339018",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED BEHAVIORAL HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "GUSTILO",
        "authorized_official_first_name": "MAGDALEN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
        "authorized_official_telephone_number": "714-568-7667"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "17081600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DiscoveryMD, Bellevue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.