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CASCADE MENTAL HEALTH PS NPI 1588622823


NPI Information

NPI: 1588622823
Provider Name: CASCADE MENTAL HEALTH PS

Doing Business As: CASCADE MENTAL HEALTH

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
3711 PACIFIC AVE
SUITE 301
TACOMA, WA
ZIP 98418
Phone: (253) 475-7333
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CASCADE MENTAL HEALTH PS is a psychiatric/mental health nurse practitioner in Tacoma, WA. CASCADE MENTAL HEALTH PS NPI is 1588622823. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cascade Mental Health.

The provider's business location address is:

3711 PACIFIC AVE
SUITE 301
TACOMA, WA
ZIP 98418-800
Phone: (253) 475-7333
Fax: (253) 475-7336

The provider's authorized official is Sylvia Gonzales Lagdan .
The authorized official title is President and has the following contact phone number (253) 475-7333.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 5/19/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19648676MEDICAIDWASHINGTON
28860534MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.