NPIMap

Organization Active NPI

Tulalip Tribes

  • Community/Behavioral Health Agency
  • Tulalip, WA
National Provider Identifier
1992096697
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CP00005529 Issued in WA
Legal business name
TULALIP TRIBES
Practice address
2821 Mission Hill Rd
Tulalip, WA 98271-9706
Phone
(360) 716-4400
Fax
(360) 651-4404
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Ms. Gayle Jones
Title
Clinical Supervisor
Phone
(360) 716-3284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CP00005529 WA Primary

Addresses

Primary practice location

2821 Mission Hill Rd
Tulalip, WA 98271-9706

Mailing address

2821 Mission Hill Rd
Tulalip, WA 98271-9706
Phone (360) 716-4400

Other names 1

  • TULALIP BEHAVIORAL HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tulalip Health Clinic13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

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": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1992096697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 MISSION HILL RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719706",
            "telephone_number": "360-716-4400",
            "fax_number": "360-651-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MISSION HILL RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719706",
            "telephone_number": "360-716-4400",
            "fax_number": "360-651-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULALIP TRIBES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "360-716-3284",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CP00005529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TULALIP BEHAVIORAL HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulalip, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.