METROPOLITAN DEVELOPMENT COUNCIL NPI 1033511951

NPI Information

NPI: 1033511951
Provider Name: METROPOLITAN DEVELOPMENT COUNCIL
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
945 FAWCETT AVE
TACOMA, WA
ZIP 98402
Phone: (253) 383-3921
Get Directions

METROPOLITAN DEVELOPMENT COUNCIL is an adult mental health clinic center in Tacoma, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. METROPOLITAN DEVELOPMENT COUNCIL NPI is 1033511951. The provider is registered as an organization entity type.

The provider's business location address is:

945 FAWCETT AVE
TACOMA, WA
ZIP 98402-612
Phone: (253) 383-3921
Fax: (253) 593-2400

The provider's authorized official is P Mark Pereboom .
The authorized official title is President And Ceo and has the following contact phone number (253) 591-0113.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 9/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	600528267	WASHINGTON	No
2	261QM0850X	Clinic/Center	Adult Mental Health	600528267	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1548387004	MEDICARE NSC	WASHINGTON
2	1285757450	MEDICARE NSC	WASHINGTON
3	1235255092	MEDICARE NSC	WASHINGTON
4	1760622195	MEDICARE OSCAR/CERTIFICATION	WASHINGTON
5	1730206202	MEDICARE NSC	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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