OLYMPIC PENINSULA AUTISM CENTER (NPI# 1407113236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407113236 |
| Entity Type | Organization |
| Organization Name | OLYMPIC PENINSULA AUTISM CENTER |
| Practice Address |
3500 Nw Bucklin Hill Rd Suite 101 Silverdale WA 98383-8503 |
| Practice Telephone | 3603372222 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Authorized Official Name | MRS. SARA HALL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3603372222 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295195394 | Olympic Peninsula Autism Center | Community/Behavioral Health | 3100 Nw Bucklin Hill Rd Ste 101, Silverdale, WA 98383-8359 | 2016-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | OLYMPIC PENINSULA AUTISM CENTER | 3500 Bucklin Hill Rd Nw, Suite 101, Silverdale, WA 98383 |
| Street Address |
3500 NW BUCKLIN HILL RD SUITE 101 |
| 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 |
| 1073979225 | Olympic Penninsula Autism Center | Day Training, Developmentally Disabled Services | 3500 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2016-01-04 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417446535 | Responding To Autism Services Inc. | Clinic/Center | 4206 W 24th Ave Ste B101, Kennewick, WA 99338-2321 | 2018-05-03 |
| 1609228774 | Kidsmarts | Clinic/Center | 2518 E Calhoun St, Seattle, WA 98112-2616 | 2016-07-12 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1114098274 | Early Choice Pediatric Therapy, Pllc | Clinic/Center | 106 E 15th St, Vancouver, WA 98663-3401 | 2006-11-12 |
| 1598716748 | Innovative Services Nw | Clinic/Center | 9414 Ne Fourth Plain Road, Vancouver, WA 98662 | 2006-05-12 |
| 1265776918 | Public Hospital Dist No 1 Skagit | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2012-11-19 |
| 1144377094 | Childrens Hospital | Clinic/Center | 1135 116th Ave Ne, Bellevue, WA 98004-4623 | 2007-01-04 |
| 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.