Emerald City Esf II LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

EMERALD CITY ESF II LLC

Practice address

3711 Pacific Ave
Tacoma, WA 98418-7827

Phone

(253) 230-6912

NPI assigned

Sep 4, 2025

Last updated

Sep 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Boray Thach, DNP, PMHNP-BCNPI 1396591822

Title

Administrator

Phone

(253) 230-6912

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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.

• Boray Thach, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tacoma, WA
  • NPI 1396591822
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1912887423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187827",
            "telephone_number": "253-230-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187827",
            "telephone_number": "253-230-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CITY ESF II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "THACH",
        "authorized_official_first_name": "BORAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-230-6912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Elmore
• Colleen Elseth
• Evelyn Boyd Elshaw, MS, RD, CD
• Dana N Emanuel, MSW
• Queen Ememe
• Emerald City Ibhtf, LLC
• Emerald Counseling PLLC
• Emerald Healthcare, Inc. (Puget Sound Home Health of King County)
• Emerald Isle Health and Wellness
• Emerald Learning, PLLC

• Psychiatric Residential Treatment Facility in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Psychiatric Residential Treatment Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.