Organization Active NPI

Hope Adult Treatment Medical Center LLC

  • Adult Mental Health Clinic/Center
  • Spanaway, WA
National Provider Identifier
1942079694
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Sep 5, 2024

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2345206Hope Adult Treatment Medical Center LLC19020 B St E Unit B, Spanaway, WA 98387Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.