CHILDHAVEN (NPI# 1366565418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366565418 |
| Entity Type | Organization |
| Organization Name | CHILDHAVEN |
| Practice Address |
316 Broadway Seattle WA 98122-5325 |
| Practice Telephone | 2066246477 |
| Practice Fax Number | 2063823303 |
| Mailing Telephone | 2069574818 |
| Mailing Fax Number | 2063823303 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | JON EASTLAKE (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 2069574818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1025 S 3rd St, Renton, WA 980572765 | 4252715600 | 4252278926 |
| 1035 Sw 124th St, Seattle, WA 981462746 | 2062484903 | 2064338566 |
| 12704 76th Ave S, Seattle, WA 981784811 | 2067722050 | 4252278924 |
| 1345 22nd St Ne, Auburn, WA 980023442 | 2538335908 | 2539318981 |
| Street Address |
316 BROADWAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544028 | Abigail Tadlock | Speech-Language Pathologist | 316 Broadway, Seattle, WA 98122-5325 | 2020-09-25 |
| 1326672569 | Melissa Jade Konrat | Peer Specialist | 316 Broadway, Seattle, WA 98122-5325 | 2020-02-26 |
| 1942831359 | Brandi Brown | Counselor | 316 Broadway, Seattle, WA 98122-5325 | 2020-02-04 |
| 1962049916 | Philip Bowen | Case Manager/Care Coordinator | 316 Broadway, Seattle, WA 98122-5325 | 2019-12-09 |
| 1629615935 | Danielle Dickerson | Counselor | 316 Broadway, Seattle, WA 98122-5325 | 2019-12-05 |
| 1356988935 | Lindsey Anderberg | Social Worker | 316 Broadway, Seattle, WA 98122-5325 | 2019-12-03 |
| 1427694249 | Diane Carmel | Social Worker | 316 Broadway, Seattle, WA 98122-5325 | 2019-11-27 |
| 1548804297 | Elizabeth Margaret Moore Simpson | Social Worker | 316 Broadway, Seattle, WA 98122-5325 | 2019-11-05 |
| 1164065108 | Deshika Venezio Perera | Social Worker | 316 Broadway, Seattle, WA 98122-5325 | 2019-10-22 |
| 1861042921 | Jennifer Wootsick | Social Worker | 316 Broadway, Seattle, WA 98122-5325 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| 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 |
|---|---|---|---|---|
| 1699392548 | Ryan Wathne Pllc | Community/Behavioral Health | 2711 E Madison St Ste 203, Seattle, WA 98112-4763 | 2020-06-26 |
| 1336786243 | Seneca Family of Agencies | Community/Behavioral Health | 1812 Sw Myrtle St, Seattle, WA 98106-1644 | 2019-12-10 |
| 1154968063 | Seneca Family of Agencies | Community/Behavioral Health | 6020 Rainier Ave S, Seattle, WA 98118-2776 | 2019-12-10 |
| 1053958124 | Seneca Family of Agencies | Community/Behavioral Health | 4030 Ne 109th St, Seattle, WA 98125-7934 | 2019-12-07 |
| 1932756020 | Autism Compassion Services | Community/Behavioral Health | 1823 Minor Ave Apt 2704, Seattle, WA 98101-0930 | 2019-08-22 |
| 1538625801 | Supported Solution, LLC | Community/Behavioral Health | 4414 Sw Graham St, Seattle, WA 98136-1440 | 2019-02-12 |
| 1679044333 | Constructional Consultants LLC | Community/Behavioral Health | 1233 Ne 69th St, Seattle, WA 98115-6747 | 2018-12-06 |
| 1811479249 | Claudelle R Glasgow, Psyd, Pllc | Community/Behavioral Health | 1105 23rd Ave, Seattle, WA 98122-4859 | 2018-09-01 |
| 1063917607 | Creative Therapy | Community/Behavioral Health | 2366 Eastlake Ave E Ste 402, Seattle, WA 98102-3394 | 2018-03-26 |
| 1952809857 | Community Care LLC | Community/Behavioral Health | 5424 Delridge Way Sw Unit A, Seattle, WA 98106-1439 | 2018-01-25 |
| Find all providers in SEATTLE | ||||
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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.