EASTSIDE SOCIAL SKILLS THERAPY LLC


Address: 5436 232nd Ave Se, Issaquah, WA 98029
Phone: 2063803009

EASTSIDE SOCIAL SKILLS THERAPY LLC (NPI# 1659765816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659765816
Entity Type Organization
Organization Name EASTSIDE SOCIAL SKILLS THERAPY LLC
Practice Address 5436 232nd Ave Se
Issaquah
WA 98029
Practice Telephone 2063803009
Enumeration Date 2015-03-26
Last Update Date 2015-03-26
Authorized Official Name PENNY J LATHUM (OWNER)
Authorized Official Telephone 2063803009
Authorized Official Credential M.ED, BCBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization Managed Care Organizations

Office Location

Street Address 5436 232ND AVE SE
City ISSAQUAH
State WA
Zip Code 98029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053927418 Evelyn Edward Behavior Technician 5436 232nd Ave Se, Issaquah, WA 98029-6220 2020-09-21
1801405204 Emily Milhomme Behavior Technician 5436 232nd Ave Se, Issaquah, WA 98029-6220 2020-07-30
1114545712 Makenzie May Knowles Behavior Technician 5436 232nd Ave Se, Issaquah, WA 98029-6220 2020-07-09
1962020586 Saira Shahid Behavior Technician 5436 232nd Ave Se, Issaquah, WA 98029-6220 2020-07-09
1114544855 Dayna Mckinsey Grove Behavior Technician 5436 232nd Ave Se, Issaquah, WA 98029-6220 2020-06-29
1487275715 Emelia M Monahan Behavior Technician 5436 232nd Ave Se, Issaquah, WA 98029-6220 2020-04-27
1386271914 Benito Ramos-vazquez Jr. Behavior Technician 5436 232nd Ave Se, Issaquah, WA 98029-6220 2020-03-24
1356828669 Allison Taylor Moses Behavioral Analyst 5436 232nd Ave Se, Issaquah, WA 98029-6220 2018-07-19
1659870673 Sofia Elisse Toledo Behavior Technician 5436 232nd Ave Se, Issaquah, WA 98029-6220 2018-02-05
1477075265 Kyle Newitt Behavior Technician 5436 232nd Ave Se, Issaquah, WA 98029-6220 2017-07-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134730161 Katelyn Creech Counselor 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 2020-08-13
1326695438 M Shoaib Haider Siddiqui Dentist Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 2019-08-22
1053885061 Rose Osborne Registered Nurse 4580 Klahanie Dr Se #181, Sammamish, WA 98029 2019-01-14
1598260960 Caryn Crosbie Behavior Technician 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 2018-03-28
1194110908 May Y. Mar Family Medicine 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 2015-03-30
1649513946 Linda Scoppettone Knodel Registered Nurse 5303 231 Ave. Se, Issaquah, WA 98029 2013-04-04
1720323116 Morley Slutsky Preventive Medicine 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 2012-12-11
1619248820 Silas Dickenson Dudley Dentist 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 2012-01-19
1659641678 Cynthia J Creel Technician/Technologist 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 2012-01-06
1093030843 Surgical Assisting Services Rnfa Nursing Care 1945 16th Lane Ne, Issaquah, WA 98029 2010-04-05
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992759815 Medcare Clinics Ltd Preferred Provider Organization 1490 Nw Gilman Blvd, Issaquah, WA 98027-5327 2006-05-22
1891114401 Ywca Preferred Provider Organization 930 Ne High St, Issaquah, WA 98029-7417 2014-04-10
1285051086 Dr Rvc Pllc Preferred Provider Organization 1490 Nw Gilman Blvd, Issaquah, WA 98027-5327 2014-03-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225529407 Mitchell International, Inc. Preferred Provider Organization 1301 5th Ave Ste 2900, Seattle, WA 98101-2644 2018-05-23
1629517388 Shera Looney Preferred Provider Organization 500 5th Ave W, 502, Seattle, WA 98119-3957 2017-02-14
1538615158 J.r. Craig Webster D.d.s. Preferred Provider Organization 204 West 1st. Street, Omak, WA 98841 2016-09-01
1306390109 Sabrina Mandich, Dds, LLC Preferred Provider Organization 207 Sw 156th St Ste 1, Burien, WA 98166-2561 2016-08-09
1083168272 Marnie L. Collins Dds Preferred Provider Organization 507 N Sullivan Rd Ste 2, Spokane Valley, WA 99037-8576 2016-08-05
1720431414 David J Olson Dds Pllc Preferred Provider Organization 509 Olive Way Ste 1238, Seattle, WA 98101-1745 2016-07-18
1932558780 Cheng Im Shao Chue Gomez Pllc Preferred Provider Organization 22035 Se Wax Rd, Ste 5, Maple Valley, WA 98038-8543 2016-06-11
1659741858 Canyon Crossing Chiropractic Ps Preferred Provider Organization 5610 176th St E, D105, Puyallup, WA 98375-9305 2015-09-30
1336519982 Dr. James Hood Preferred Provider Organization 2510 N Pines Rd Ste 206, Spokane Valley, WA 99206-7636 2015-09-25
1134504145 Body Kneads Massage Therapy Preferred Provider Organization 445 Cedar Blvd., Suite C, Othello, WA 99344 2015-07-21
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Competitor

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City ISSAQUAH
Zip Code 98029

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Dataset Information

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.

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