EVERGREEN AT NORTHPOINT LLC NPI 1942735667

NPI Information

NPI: 1942735667
Provider Name: EVERGREEN AT NORTHPOINT LLC

Other Name: IMAGINE BY NORTHPOINT SPOKANE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2111 N NORTHGATE WAY STE 101
SEATTLE, WA
ZIP 98133
Phone: (206) 309-3740
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EVERGREEN AT NORTHPOINT LLC is a mental health (including community mental health center) clinic center in Seattle, WA. EVERGREEN AT NORTHPOINT LLC NPI is 1942735667. The provider is registered as an organization entity type.
The provider Other Name Is Imagine By Northpoint Spokane.

The provider's business location address is:

2111 N NORTHGATE WAY STE 101
SEATTLE, WA
ZIP 98133-018
Phone: (206) 309-3740
Fax: (206) 260-0020

The provider's authorized official is Kevin Gorman .
The authorized official title is Cfo and has the following contact phone number (707) 933-7252.

The CLIA number assigned to this NPI record is 50D2264335 - other - mental health services with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2017 and was last updated on 12/18/2023.

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	251S00000X	Community/Behavioral Health		No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QM1300X	Clinic/Center	Multi-Specialty	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
5	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
6	324500000X	Substance Abuse Rehabilitation Facility		No
7	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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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