PACIFIC THERAPY GROUP, PLLC (NPI# 1053645754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053645754 |
| Entity Type | Organization |
| Organization Name | PACIFIC THERAPY GROUP, PLLC |
| Practice Address |
1601 116th Ave Ne Suite 114 Bellevue WA 98004-3010 |
| Practice Telephone | 4254547541 |
| Practice Fax Number | 4254541142 |
| Mailing Telephone | 4254547541 |
| Mailing Fax Number | 4254541142 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | DR. MARY ANDERSON (OWNER/MEMBER) |
| Authorized Official Telephone | 4254547541 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | WA | Agencies |
| Street Address |
1601 116TH AVE NE SUITE 114 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326099482 | Janile Martin | Nurse Practitioner | 1601 116th Ave Ne, Suite 100, Bellevue, WA 98004-3010 | 2006-05-13 |
| 1639534506 | Megan Taylor | Specialist/Technologist | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2015-12-20 |
| 1356712632 | Evan Palmer | Physical Therapist | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2015-10-13 |
| 1356719215 | Christina Messak | Physical Therapist | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2015-09-09 |
| 1356728547 | Andrea Wilson | Massage Therapist | 1601 116th Ave Ne, Ste 111, Bellevue, WA 98004 | 2015-04-27 |
| 1083001176 | Dayna Marie Powers | Massage Therapist | 1601 116th Ave Ne, Ste 111, Bellevue, WA 98004 | 2015-04-16 |
| 1114332848 | Red Cedar Wellness Center, Pllc | Non-Pharmacy Dispensing Site | 1601 116th Ave Ne, Suite 100, Bellevue, WA 98004-3010 | 2014-06-20 |
| 1477984458 | Mardi Mills Lcsw LLC | Social Worker | 1601 116th Ave Ne, Suite 104, Bellevue, WA 98004-3010 | 2013-12-02 |
| 1508102989 | Everett Physical Therapy & Sportsperformance Center Pllc | Clinic/Center | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2012-12-12 |
| 1639414147 | Christina Marie Lange | Counselor | 1601 116th Ave Ne, Suite 114, Bellevue, WA 98004-3010 | 2012-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241192 | Optimum Counseling, LLC | Community/Behavioral Health | 10710 Ne 10th St Apt 108, Bellevue, WA 98004-1033 | 2020-06-25 |
| 1366929762 | Consejo Couseling and Referral Service - Bellevue | Community/Behavioral Health | 13343 Bel-red Road, Suite 210, Bellevue, WA 98005-2327 | 2018-07-27 |
| 1730637695 | Timothy Shek-pui Tam | Community/Behavioral Health | 1231 116th Ave Ne Ste 800, Bellevue, WA 98004-3822 | 2016-09-20 |
| 1346627361 | Hopeful Hands Inc | Community/Behavioral Health | 16301 Ne 8th St, Bellevue, WA 98008-3992 | 2015-04-28 |
| 1104228246 | Scarlett Behavioral Services | Community/Behavioral Health | 2821 131st Pl Ne, Bellevue, WA 98005-1714 | 2014-09-19 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1881923183 | Working Choices, Inc | Community/Behavioral Health | 1611 116th Ave Ne Ste 101, Bellevue, WA 98004-3048 | 2009-12-15 |
| 1689702060 | Rainbow of Hope | Community/Behavioral Health | 2009 Franklin St, Bellevue, NE 68005-5055 | 2007-02-28 |
| 1326185844 | Coastal Treatment Services, Inc. | Community/Behavioral Health | 14730 Ne 8th St, Suite 110, Bellevue, WA 98007-4116 | 2007-01-31 |
| 1356496335 | Youth Eastside Services | Community/Behavioral Health | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2007-01-23 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.