OLYMPIC PENNINSULA AUTISM CENTER (NPI# 1073979225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073979225 |
Entity Type | Organization |
Organization Name | OLYMPIC PENNINSULA AUTISM CENTER |
Practice Address |
3500 Nw Bucklin Hill Rd Silverdale WA 98383-8503 |
Mailing Address |
4008 Nw Country Ln Bremerton WA 98312-1638 |
Practice Telephone | 3603372222 |
Mailing Telephone | 7326918242 |
Enumeration Date | 2016-01-04 |
Last Update Date | 2016-01-04 |
Authorized Official Name | JENNIFER CLEVERDON (PROGRAM DIRECTOR) |
Authorized Official Telephone | 3603372222 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Street Address |
3500 NW BUCKLIN HILL RD |
City | SILVERDALE |
State | WA |
Zip Code | 98383-8503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083916597 | Katherine Lynn Moriarty | Chiropractor | 3500 Nw Bucklin Hill Rd, Suite 100, Silverdale, WA 98383-8503 | 2010-12-03 |
1740727304 | Praveena Nanduri | Dentist | 3500 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2017-01-20 |
1891167219 | Pranay Gulati | Dentist | 3500 Nw Bucklin Hill Rd, # 200, Silverdale, WA 98383-8503 | 2015-10-25 |
1821468869 | Ck Family Dentitstry | Dentist | 3500 Nw Bucklin Hill Rd, Suite 200, Silverdale, WA 98383-8503 | 2015-10-02 |
1104229491 | Amanda Eilefson | Behavioral Analyst | 3500 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2014-10-01 |
1306249800 | Sandra Flowers | Behavioral Analyst | 3500 Nw Bucklin Hill Rd, Building A, Suite 101, Silverdale, WA 98383-8503 | 2014-09-29 |
1538507090 | Siriana Haynes | Counselor | 3500 Nw Bucklin Hill Rd, Suite 101, Silverdale, WA 98383-8503 | 2013-06-06 |
1871936807 | Tina Renee Gillespie | Counselor | 3500 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2013-04-09 |
1407197619 | Rachael Christine Roche | Counselor | 3500 Nw Bucklin Hill Rd, Building A, Ste 101, Silverdale, WA 98383-8503 | 2013-03-13 |
1457691321 | Teresa Boad Brooks | Counselor | 3500 Nw Bucklin Hill Rd, Building A, Suite 101, Silverdale, WA 98383-8503 | 2013-02-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
Find all providers in zip 98383 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265076954 | Rose Almanza | Day Training, Developmentally Disabled Services | 1841 Gap Rd, Granger, WA 98932-9487 | 2019-11-05 |
1790342095 | The Artisans Ark | Day Training, Developmentally Disabled Services | 4019 E Central Ave, Spokane, WA 99217 | 2019-05-22 |
1780140905 | Workathon LLC | Day Training, Developmentally Disabled Services | 12627 Se 83rd Ct, Newcastle, WA 98056-9185 | 2019-02-12 |
1861982100 | Skills Inc. | Day Training, Developmentally Disabled Services | 715 30th St Ne, Auburn, WA 98002-2479 | 2018-05-11 |
1174021794 | Chinook Enterprises | Day Training, Developmentally Disabled Services | 2026 N Laventure Rd, Mount Vernon, WA 98273-5807 | 2018-01-29 |
1144736547 | Elmview | Day Training, Developmentally Disabled Services | 204 E 6th Ave, Ellensburg, WA 98926-3136 | 2017-12-20 |
1174068464 | Mybestbehavior, LLC | Day Training, Developmentally Disabled Services | 1220 Main St Ste 424, Vancouver, WA 98660-2953 | 2016-12-22 |
1649712449 | Yakima Specialties, Inc | Day Training, Developmentally Disabled Services | 1819 W J St, Yakima, WA 98902-1227 | 2016-11-09 |
1033662309 | Acren Health Care Inc | Day Training, Developmentally Disabled Services | 21713 80th Ave W, 2, Edmonds, WA 98026-7808 | 2016-08-03 |
1649645524 | Northwest's Child | Day Training, Developmentally Disabled Services | 1823 N 85th St, Seattle, WA 98103-4107 | 2015-12-03 |
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City | SILVERDALE |
Zip Code | 98383 |
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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.