ISLAND BEHAVIORAL MEDICINE, PS (NPI# 1447638853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447638853 |
| Entity Type | Organization |
| Organization Name | ISLAND BEHAVIORAL MEDICINE, PS |
| Other Organization Name | ISLAND BEHAVIORAL MEDICINE |
| Practice Address |
3208 K Ave Anacortes WA 98221 |
| Mailing Address |
Po Box 378 Anacortes WA 98221-0378 |
| Practice Telephone | 3606825016 |
| Mailing Telephone | 3606825016 |
| Mailing Fax Number | 3606825476 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | MS. PAULA LOUISE CASEY (OWNER) |
| Authorized Official Telephone | 3606825016 |
| Authorized Official Credential | L.M.F.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH60428818 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY60620631 | WA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LW60395422 | WA | Behavioral Health & Social Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OP60248624 | WA | Allopathic & Osteopathic Physicians |
| Y | 106H00000X | Marriage & Family Therapist | LF60125307 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE PTAN | G8957249 | 01 |
| WA | 2044886 | 05 |
| Other Name | Type Code |
|---|---|
| Island Behavioral Medicine | Doing Business As Name - Organization |
| Street Address |
3208 K AVE |
| City | ANACORTES |
| State | WA |
| Zip Code | 98221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035703 | Amber Upchurch | Behavioral Analyst | 2405 28thst, Anacortes, WA 98221 | 2019-07-18 |
| 1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
| 1558843524 | Caitlyn Kimble Crowder | Physical Therapist | 1610 Commercial Ave Ste 1-a, Anacortes, WA 98221 | 2018-09-05 |
| 1740731819 | Stanojka Norma Stuart | Speech-Language Pathologist | 6837 Deer Lane, Anacortes, WA 98221 | 2016-10-24 |
| 1972903615 | Clarence Hugh Jonson | Specialist | 6818 Gibralter Place, Anacortes, WA 98221 | 2014-08-29 |
| 1073939062 | Puget Sound Kidney Centers | Clinic/Center | 809 31st St, Anacortes, WA 98221 | 2014-03-14 |
| 1104161066 | Nancy J. Schafer | Speech-Language Pathologist | 2200 M Avenue, Anacortes, WA 98221 | 2012-12-04 |
| 1063766053 | Ingrid K. Larson Thieman | Pharmacist | 9080 S March Pt Road B4, Anacortes, WA 98221 | 2012-10-30 |
| 1265793723 | Elga Kinnear | Psychologist | 1019 21st Street, Anacortes, WA 98221 | 2012-05-31 |
| 1881954279 | Lindsay Anne Newlon | Family Medicine | 2511 M Ave Ste B, Anacortes, WA 98221 | 2012-05-21 |
| Find all providers in zip 98221 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707890 | Danesha Deloatch | Marriage & Family Therapist | 1004 Commercial Ave # 2024, Anacortes, WA 98221-4117 | 2020-10-13 |
| 1215005210 | Dion Lynn Menser-andreini | Marriage & Family Therapist | 1015 14th St Ste F, Anacortes, WA 98221-5201 | 2006-11-30 |
| 1548333578 | Malka Golden Wolfe | Marriage & Family Therapist | 619 Commercial Ave, #18, Anacortes, WA 98221 | 2006-11-16 |
| 1184726275 | Rachel Johnson | Marriage & Family Therapist | 3710 W 10th St, Anacortes, WA 98221-4532 | 2006-09-01 |
| 1770559130 | Anne M Casperson | Marriage & Family Therapist | 1020 9th Street, Anacortes, WA 98221 | 2006-02-27 |
| 1033626536 | David Maurice White | Marriage & Family Therapist | 601 O Ave, Anacortes, WA 98221-1753 | 2018-01-05 |
| 1558799858 | Michael Tyers | Marriage & Family Therapist | 1601 R Ave, Anacortes, WA 98221-2276 | 2013-10-23 |
| 1306047188 | Jane C Wagner | Marriage & Family Therapist | 1019 21st St, Anacortes, WA 98221-2515 | 2007-05-30 |
| 1881796928 | Nancy L Greinert | Marriage & Family Therapist | 2218 Cascade Ct, Anacortes, WA 98221-7403 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881564 | Adapt To Growth Therapy, Pllc | Marriage & Family Therapist | 406 Main St Ste 102a, Edmonds, WA 98020-3166 | 2020-11-06 |
| 1184230500 | Jeanne Marie Jankus | Marriage & Family Therapist | 16710 Smokey Point Blvd Ste 306, Arlington, WA 98223-8435 | 2020-09-21 |
| 1497365969 | Nicole Susanne Ruttenberg | Marriage & Family Therapist | 17129 32nd Ave Ne, Lake Forest Park, WA 98155-5323 | 2020-08-08 |
| 1801406210 | Carlon R Ryan | Marriage & Family Therapist | 11521 122nd Ave Nw, Gig Harbor, WA 98329-5848 | 2020-07-31 |
| 1407465404 | Kalila Marie Griffin | Marriage & Family Therapist | 15 S Grady Way Ste 214, Renton, WA 98057-3220 | 2020-07-26 |
| 1790394823 | Shazia Shafaat | Marriage & Family Therapist | 13811 56th Dr Se, Everett, WA 98208-9464 | 2020-07-24 |
| 1568070845 | Claudia Graciela Johnson | Marriage & Family Therapist | 2717 Western Ave Apt 5002, Seattle, WA 98121-1162 | 2020-07-22 |
| 1841808714 | Angelina Louise Charlotte Thomson | Marriage & Family Therapist | 75 Nw Dogwood St Ste B, Issaquah, WA 98027-3258 | 2020-07-16 |
| 1831712736 | Robert Teister | Marriage & Family Therapist | 29617 156th Ave E, Graham, WA 98338-7441 | 2020-05-26 |
| 1336762319 | Philip Knute Lee | Marriage & Family Therapist | 6927 180th St Se, Snohomish, WA 98296-5371 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ISLAND BEHAVIORAL MEDICINE, PS.
| 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.