RYTHER CHILD CENTER (NPI# 1164633178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164633178 |
| Entity Type | Organization |
| Organization Name | RYTHER CHILD CENTER |
| Other Organization Name | RYTHER CHILD CENTER - BRS RES |
| Practice Address |
2400 Ne 95th St Seattle WA 98115-2426 |
| Practice Telephone | 2065255050 |
| Practice Fax Number | 2065259795 |
| Mailing Telephone | 2065255050 |
| Mailing Fax Number | 2065259795 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEE GROGG (CEO) |
| Authorized Official Telephone | 2065255050 |
| Authorized Official Credential | MSW, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | WA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 100135 | 05 | |
| WA | 247336 | 05 |
| Other Name | Type Code |
|---|---|
| RYTHER CHILD CENTER - BRS RES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427266386 | Ryther Child Center | Substance Abuse Rehabilitation Facility | 11729 36th Ave Ne, Seattle, WA 98125 | 2007-05-21 |
| 1548478001 | Ryther Child Center | Substance Abuse Rehabilitation Facility | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2007-05-18 |
| 1316156656 | Ryther Child Center | Community/Behavioral Health | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2007-05-22 |
| Street Address |
2400 NE 95TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548478001 | Ryther Child Center | Substance Abuse Rehabilitation Facility | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2007-05-18 |
| 1568063261 | Jessamy Whitsitt-hunt | Counselor | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-11-08 |
| 1427659044 | Hangatu Umar Dawud | Counselor | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-11-02 |
| 1457958894 | Nhi Uyen Ly | Counselor | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-10-08 |
| 1952918062 | Priyanka Ghosh | Social Worker | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-09-23 |
| 1740896976 | Ingrid Lissette Lara Rivera | Social Worker | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-09-22 |
| 1023622891 | Vincenza Standridge | Case Manager/Care Coordinator | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-08-31 |
| 1639781990 | Shian Venee Corine Witherspoon | Behavior Technician | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-08-18 |
| 1922610526 | Kassie Means | Student in an Organized Health Care Education/Training Program | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-08-17 |
| 1912521469 | Miranda Rosemarie Sullivan | Social Worker | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
| Find all providers in zip 98115 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417265273 | Jason Paul Gilbert | Residential Treatment Facility, Emotionally Disturbed Children | 815 S Pearl St, Tacoma, WA 98465-2117 | 2010-09-15 |
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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.