TACOMA PSYCHIATRIC CARE, PLLC (NPI# 1477116358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477116358 |
Entity Type | Organization |
Organization Name | TACOMA PSYCHIATRIC CARE, PLLC |
Practice Address |
2517 N Proctor St Ste 1 Tacoma WA 98406-5337 |
Mailing Address |
Po Box 7600 Tacoma WA 98417-0600 |
Practice Telephone | 2537856332 |
Practice Fax Number | 2533639219 |
Enumeration Date | 2019-04-17 |
Last Update Date | 2020-07-23 |
Authorized Official Name | JAIME CHRISTINE LONG (ARNP) |
Authorized Official Telephone | 2532271803 |
Authorized Official Credential | ARNP, LMHC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1619152600 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | TACOMA PSYCHIATRIC CARE, PLLC | 2111 N 30th St, Tacoma, WA 98403-3318 |
Street Address |
2517 N PROCTOR ST STE 1 |
City | TACOMA |
State | WA |
Zip Code | 98406-5337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619152600 | Jaime C. Long | Counselor | 2517 N Proctor St Ste 1, Tacoma, WA 98406-5337 | 2008-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972068070 | Misty Molina, Arnp | Midwife | 6002 Westgateblvd., Ste 120, Tacoma, WA 98406 | 2019-02-04 |
1538641238 | Julianne Marie Silla | Behavior Technician | 4414 6th Ave., Tacoma, WA 98406 | 2018-08-30 |
1659851194 | Holli Fadem | Behavioral Analyst | 4414 6th Ave, Tacoma, WA 98406 | 2018-08-15 |
1275013682 | Josephine Lynn Daniels | Counselor | 5929 Westgate Blvd., Suite A, Tacoma, WA 98406 | 2018-08-15 |
1821520388 | Cayla Passmore | Home Health Aide | 7320 6th Ave, Apt 2, Tacoma, WA 98406 | 2017-04-03 |
1134587355 | Chelsey Babcock | Massage Therapist | 1919 N Pearl St., #a4, Tacoma, WA 98406 | 2016-02-02 |
1366888992 | Philip Jones / Thomas Henry, D.o.s., P.s. | Dentist | 2102 N. Pearl Street, Suite 202, Tacoma, WA 98406 | 2013-05-22 |
1548512866 | Suzanne R Webster | Occupational Therapy Assistant | 2301 N Mildred, Tacoma, WA 98406 | 2012-10-10 |
1457609943 | Erika R. Sagle | Specialist | 1807 N. Stevens St., Tacoma, WA 98406 | 2012-08-15 |
1457616104 | Catherine M Jones | Pharmacy Technician | 3601 6th Ave S., Tacoma, WA 98406 | 2012-07-09 |
Find all providers in zip 98406 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699286336 | Annabelle T Vo | Nurse Practitioner | 3716 Pacific Ave Ste E, Tacoma, WA 98418-7836 | 2017-10-20 |
1114454667 | Uchenna Akukalia | Nurse Practitioner | 9040 Jackson Avenue Tacoma Wa 98431, Tacoma, WA 98431-0001 | 2017-05-15 |
1023569381 | Marisa Bell | Nurse Practitioner | 401 Broadway Ste 100, Tacoma, WA 98402-3900 | 2016-10-20 |
1225440019 | Understand Balance Mental Health Care | Nurse Practitioner | 720 6th Ave Apt 101, Tacoma, WA 98405-4661 | 2014-05-28 |
1053746867 | Robert Kopec | Nurse Practitioner | 5702 N 26th St Ste 1a, Tacoma, WA 98407-2406 | 2013-09-11 |
1093834350 | Viridian Associates, LLC | Nurse Practitioner | 707 Pacific Ave, Tacoma, WA 98402-5207 | 2007-03-28 |
1790831055 | Christine Karczewski | Nurse Practitioner | 9 St Helens Ave, Level B, Tacoma, WA 98402-2600 | 2007-01-26 |
1689725376 | Nancy Corley-wheeler | Nurse Practitioner | 608 S G Street, Tacoma, WA 98405-4625 | 2007-01-16 |
1366459489 | Tanya Laplant | Nurse Practitioner | 5410 N 44th St, Tacoma, WA 98407-3715 | 2006-08-02 |
1710505029 | Amity Tucker | Nurse Practitioner | 5702 N 26th St Ste A, Tacoma, WA 98407-2406 | 2020-07-13 |
Find all providers in TACOMA |
Please comment or provide details below to improve the information on TACOMA PSYCHIATRIC CARE, PLLC.
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.