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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
Street Address |
5436 232ND AVE SE |
City | ISSAQUAH |
State | WA |
Zip Code | 98029 |
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 |
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 |
Find all providers in zip 98029 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
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 |
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 |
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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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.