Active NPI
Hope Adult Treatment Medical Center LLC
- Adult Mental Health Clinic/Center
- Spanaway, WA
National Provider Identifier
1942079694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- HOPE ADULT TREATMENT MEDICAL CENTER LLC
- Practice address
- 19020 B St E Unit B
Spanaway, WA 98387-8310 - Phone
- (253) 208-9728
- NPI assigned
- Dec 21, 2023
- 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
- Kimberly Y Wilkins, PMHNP
- Title
- Pmhnp
- Phone
- (253) 208-9728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
19020 B St E Unit B
Spanaway, WA 98387-8310
Mailing address
19020 B St E Unit B
Spanaway, WA 98387-8310
Phone (253) 208-9728
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2345206 | Hope Adult Treatment Medical Center LLC | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
7902 27th St W
Ste 7A
University Place, WA 98466
Phone (253) 208-9728
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- University Place, WA
- NPI 1023392529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1942079694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 B ST E UNIT B",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983878310",
"telephone_number": "253-208-9728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19020 B ST E UNIT B",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983878310",
"telephone_number": "253-208-9728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE ADULT TREATMENT MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-21",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "WILKINS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "253-208-9728",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spanaway, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.