CENTER FOR HUMAN SERVICES (NPI# 1598103624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598103624 |
| Entity Type | Organization |
| Organization Name | CENTER FOR HUMAN SERVICES |
| Other Organization Name | CHS NORTHSHORE 103RD |
| Practice Address |
18414 103rd Ave Ne Bothell WA 98011-3410 |
| Mailing Address |
17018 15th Ave Ne Shoreline WA 98155-5126 |
| Practice Telephone | 2063627282 |
| Practice Fax Number | 2063627152 |
| Mailing Telephone | 2063627282 |
| Mailing Fax Number | 2063627152 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-14 |
| Authorized Official Name | BERATTA GOMILLION (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2063627282 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR HUMAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 17153800 | WA | Agencies |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
17153800 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CHS Northshore 103rd | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306121074 | Center for Human Services | Community/Behavioral Health | 1300 Patchett Dr, Newman, CA 95360-1434 | 2011-10-13 |
| 1336442722 | Center for Human Services | Community/Behavioral Health | 631 W F St, Oakdale, CA 95361-3734 | 2010-12-07 |
| 1104079300 | Center for Human Services | Community/Behavioral Health | 1317 Grandview Ave, Ceres, CA 95307-4405 | 2008-10-31 |
| 1669675609 | Center for Human Services | Counselor | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2007-06-07 |
| 1194858076 | Center for Human Services | Community/Behavioral Health | 700 F St, Patterson, CA 95363-2669 | 2007-03-13 |
| 1437288222 | Center for Human Services | Community/Behavioral Health | 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 | 2007-03-05 |
| 1023197795 | Center for Human Services | Counselor | 23200 100th Ave W, Edmonds, WA 98020-5020 | 2006-11-03 |
| 1730266917 | Center for Human Services | Counselor | 22105 23rd Dr Se, Bothell, WA 98021-4409 | 2006-11-01 |
| 1053498220 | Center for Human Services | Counselor | 17018 15th Ave Ne, Shoreline, WA 98155-5126 | 2006-11-01 |
| 1063963015 | Center for Human Services | Community/Behavioral Health | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2016-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CENTER FOR HUMAN SERVICES | 7200 Wisconsin Ave, Bethesda, MD 20814 |
| System for Award Management (SAM) Entities | CENTER FOR HUMAN SERVICES CORPORATION | 5404 Wisconsin Ave Ste 800, Chevy Chase, MD 20815-3594 |
| Street Address |
18414 103RD AVE NE |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1386278372 | Social Treatment Opportunity Programs II, Inc | Clinic/Center | 600 S 1st Ave, Othello, WA 99344-1703 | 2020-02-27 |
| 1326672692 | Excelsior Integrated Care Center LLC | Clinic/Center | 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 | 2020-02-26 |
| 1659919561 | Baart Behavioral Health Services, Inc. | Clinic/Center | 716 S Chase St, Port Angeles, WA 98362-6122 | 2019-12-11 |
| 1346888260 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 | 2019-12-11 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1780174441 | American Behavioral Health Systems, Inc. | Clinic/Center | 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 | 2018-05-17 |
| 1598255267 | American Behavioral Healt Systems, Inc. | Clinic/Center | 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 | 2018-05-17 |
| 1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
| 1487143350 | Steve Parker | Clinic/Center | 1206 State Ave Ste H, Marysville, WA 98270-3645 | 2018-05-07 |
| Find all providers with the same taxonomy | ||||
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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.