SEA MAR COMMUNITY HEALTH CENTERS NPI 1114537768

NPI Information

NPI: 1114537768
Provider Name: SEA MAR COMMUNITY HEALTH CENTERS

Other Name: SEA MAR CHC GERIATRIC PSYCH CLINIC

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1040 S HENDERSON ST FL 3
SEATTLE, WA
ZIP 98108
Phone: (206) 764-0526
Get Directions

SEA MAR COMMUNITY HEALTH CENTERS is a community based residential treatment facility mental illness in Seattle, WA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SEA MAR COMMUNITY HEALTH CENTERS NPI is 1114537768. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sea Mar Chc Geriatric Psych Clinic.

The provider's business location address is:

1040 S HENDERSON ST FL 3
SEATTLE, WA
ZIP 98108-720
Phone: (206) 764-0526

The provider's authorized official is Rogelio Riojas .
The authorized official title is Ceo and has the following contact phone number (206) 763-5277.

The enumeration date for this NPI number is 8/7/2020 and was last updated on 3/12/2024.

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	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	164W00000X	Licensed Practical Nurse		No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	No
7	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
8	320800000X	Community Based Residential Treatment Facility, Mental Illness		Yes
9	363A00000X	Physician Assistant		No
10	363L00000X	Nurse Practitioner		No
11	363LF0000X	Nurse Practitioner	Family	No
12	363LG0600X	Nurse Practitioner	Gerontology	No
13	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No

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	Other Provider Identifier Issuer
1	2172938	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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