Active NPI
Swedish Health Services
Doing business as Swedish Medical Center-Ballard Psych
- Psychiatric Hospital Unit
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- HAC.FS.00000001
- Legal business name
- SWEDISH HEALTH SERVICES
- Doing business as
- Swedish Medical Center-Ballard Psych
- Practice address
- 5300 Tallman Ave NW
Floor 4 North
Seattle, WA 98107-3932 - Phone
- (206) 320-2230
- NPI assigned
- Sep 22, 2016
- Last updated
- Feb 11, 2026
- 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
- Donald Wayne Anderson Jr.
- Title
- Assistant Secreatry for Enrollment
- Phone
- (425) 358-9786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | HAC.FS.00000001 | WA | Primary |
Addresses
Primary practice location
5300 Tallman Ave NW
Floor 4 North
Seattle, WA 98107-3932
Mailing address
PO Box 26828
Salt Lake City, UT 84126-0828
Phone (206) 320-2230
Other names 1
- Swedish Medical Center-Ballard Psych
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161012001446 | WA | Part A Provider - Hospital | 3173433067 | Practice locations: Seattle, WA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902355654. Details of each certification follow.
Hospital certification: CCN 50S027
- Legal name
- SWEDISH HEALTH SERVICES
- Doing business as
- SWEDISH MEDICAL CENTER-BALLARD PSYCH
- Organization structure
- Corporation
- Enrollment address
- 5300 Tallman Ave NW
FL 4
Seattle, WA 98107-3932 - Hospital subgroups
- Psychiatric unit
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Swedish Imaging Clinics
- Body Imaging Physician
- Everett, WA
- NPI 1114356904
3173433067
-
dba Swedish Arnold Pavilion Pharmacy
- Pharmacy
- Seattle, WA
- NPI 1477988509
3173433067
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
3173433067
National Provider Directory
National Provider Directory- Tax ID family
- SMC Adult Hospitalist
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Swedish Imaging Clinics
- Body Imaging Physician
- Everett, WA
- NPI 1114356904
-
dba Swedish Medical Center, Ballard
- Substance Use Disorder Rehabilitation Hospital Unit
- Seattle, WA
- NPI 1154516755
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
dba Swedish Medical Center
- Psychiatric Hospital Unit
- Seattle, WA
- NPI 1336699388
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
-
dba Swedish Visiting Nurse Services
- Home Health Agency
- Mountlake Terrace, WA
- NPI 1932331121
-
- Clinic/Center
- Seattle, WA
- NPI 1134509904
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Seattle, WA
- NPI 1518410935
-
- Durable Medical Equipment & Medical Supplies
- Seattle, WA
- NPI 1841345923
Locations
5300 Tallman Ave NW
Fl 4
Seattle, WA 98107
Phone (206) 320-2230
Ownership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ronald Berenstain | Corporate Director | Jan 1, 2026 | |
| Diankha Linear | Corporate Director | Mar 8, 2021 | |
| Bruce Blume | Corporate Director | Jan 1, 2026 | |
| Eric M Delgado | W-2 Managing Employee | May 23, 2022 | |
| Christina Park | Corporate Officer | Nov 14, 2025 | |
| Providence Health & Services - Washington | Operational/Managerial Control | May 24, 2016 | |
| Swedish Health Services | 5% Or Greater Direct Ownership Interest | May 24, 2016 | 100% |
| Operational/Managerial Control | May 24, 2016 | ||
| Constantina Pappas | Corporate Director | Jan 1, 2026 | |
| Christina Prkic | Corporate Director | Jan 1, 2025 | |
| Monica P Knox | Corporate Director | Dec 1, 2019 | |
| Javier Saade | Corporate Director | Jan 1, 2025 | |
| Western Healthconnect | Other | Jul 1, 2016 | |
| Michael J Katz | Corporate Director | Jan 1, 2024 | |
| James Martin | Corporate Officer | Jan 13, 2023 | |
| Donald Wayne Anderson | Corporate Officer | Jan 1, 2017 | |
| Gregory David Hoffman | Corporate Officer | Oct 1, 2020 | |
| Rayburn Lewis | Corporate Director | Jan 1, 2024 | |
| Meredith J Baty | Corporate Director | Mar 1, 2022 | |
| Elizabeth Wako | Corporate Officer | Apr 4, 2023 | |
| W-2 Managing Employee | Apr 4, 2023 | ||
| Alvin a Sturdivant | Corporate Director | Mar 1, 2022 | |
| Rick a Cantu | Corporate Director | Dec 1, 2019 | |
| Anna R Newsom | Corporate Officer | May 13, 2022 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Swedish Imaging Clinics
- Body Imaging Physician
- Everett, WA
- NPI 1114356904
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Swedish Arnold Pavilion Pharmacy
- Pharmacy
- Seattle, WA
- NPI 1477988509
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Swedish Medical Center Cherry Hill | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 7, 2003 May 7, 2003 |
| Swedish Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2016 Jul 1, 2016 |
| Swedish Medical Center Cherry Hill | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2016 May 7, 2003 |
| Swedish Edmonds | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2012 |
| Swedish/Issaquah | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 9, 2011 Nov 9, 2011 |
Owned or controlled facilities with NPI records 6
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
5% Or Greater Direct Ownership Interest
-
- Clinical Medical Laboratory
- Edmonds, WA
- NPI 1699894022
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Swedish Medical Center, Cherry Hill
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Swedish Medical Center Cherry Hill
- Rehabilitation Hospital Unit
- Seattle, WA
- NPI 1427103589
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 139
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Providence at Home with Compassus Home Health, King
- Home Health Agency
- Tukwila, WA
- NPI 1972325983
Providence Health & Services - Washington
-
dba Providence at Home with Compassus Hospice Care, Puget Sound
- Community Based Hospice Care Agency
- Tukwila, WA
- NPI 1174345193
Providence Health & Services - Washington
-
dba Providence at Home with Compassus Home Health, Snohomish County
- Community Based Hospice Care Agency
- Everett, WA
- NPI 1184446221
Providence Health & Services - Washington
-
dba Providence at Home with Compassus Hospice Care, Snohomish County
- Home Health Agency
- Everett, WA
- NPI 1720800857
Providence Health & Services - Washington
-
dba Providence at Home with Compassus Hospice Care, Puget Sound South
- Community Based Hospice Care Agency
- Lacey, WA
- NPI 1659193795
Providence Health & Services - Washington
-
dba Providence at Home with Compassus Home Health, Puget Sound South
- Home Health Agency
- Lacey, WA
- NPI 1669294708
Providence Health & Services - Washington
-
dba Providence at Home with Compassus Home Health, INWA
- Home Health Agency
- Spokane Valley, WA
- NPI 1033931043
Providence Health & Services - Washington
-
dba Providence at Home with Compassus Home Health, Walla Walla
- Home Health Agency
- Walla Walla, WA
- NPI 1730901745
Providence Health & Services - Washington
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
Providence Health & Services - Washington
-
dba Providence Swedish Rehabilitation Hospital
- Rehabilitation Hospital
- Lynnwood, WA
- NPI 1306628821
Providence Health & Services - Washington
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
Providence Health & Services - Washington
-
dba Providence St Joseph Hospital
- Medicare Defined Swing Bed Hospital Unit
- Chewelah, WA
- NPI 1447402839
Providence Health & Services - Washington
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Psychiatry Physician
- Edmonds, WA
- NPI 1235246091
-
- Psychiatry Physician
- Seattle, WA
- NPI 1790363729
-
- Psychiatric/Mental Health Nurse Practitioner
- Edmonds, WA
- NPI 1669940987
-
- Psychiatry Physician
- Seattle, WA
- NPI 1417067836
-
- Psychiatry Physician
- Seattle, WA
- NPI 1336251305
-
- Psychiatry Physician
- Kirkland, WA
- NPI 1003823840
-
- Psychiatry Physician
- Edmonds, WA
- NPI 1336568401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770768000000",
"number": "1902355654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26828",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841260828",
"telephone_number": "206-320-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 TALLMAN AVE NW",
"address_2": "FLOOR 4 NORTH",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073932",
"telephone_number": "206-320-2230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEDISH HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-22",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "ASSISTANT SECREATRY FOR ENROLLMENT",
"authorized_official_telephone_number": "425-358-9786",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "WA",
"license": "HAC.FS.00000001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Swedish Medical Center-Ballard Psych",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seattle, WA
- Swedish Health Services (Swedish Orthopedic Institute Pharmacy)
- Swedish Health Services
- Swedish Health Services
- Swedish Health Services (Swedish Physicians LLC)
- Swedish Health Services (Swedish Physician Division)
- Swedish Health Services (Swedish Physician Division)
- Swedish Health Services (Swedish Physicians LLC)
- Swedish Health Services (Swedish Pharmacy Cherry Hill)
- Swedish Health Services (Swedish Visiting Nurse Services)
- Swedish Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.