EVIDENCE BASED TREATMENT CENTERS OF SEATTLE (NPI# 1083882260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083882260 |
| Entity Type | Organization |
| Organization Name | EVIDENCE BASED TREATMENT CENTERS OF SEATTLE |
| Practice Address |
1218 3rd Ave Suite 500 Seattle WA 98101-3097 |
| Mailing Address |
1218 3rd Ave Suite 500 Seattle WA 98101-3081 |
| Practice Telephone | 2063740109 |
| Practice Fax Number | 2063740108 |
| Mailing Telephone | 2063740109 |
| Mailing Fax Number | 2063740108 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | DR. MICHELLE R KATZ (CLINICAL PSYCHOLOGIST & POST-DOC) |
| Authorized Official Telephone | 2063740109 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | EVIDENCE BASED TREATMENT CENTERS OF SEATTLE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PY3666 | WA | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EVIDENCE BASED TREATMENT CENTERS OF SEATTLE (EBTCS), PLLC | 1200 5th Ave, Suite 800, Seattle, WA 98101-3136 |
| Colorado Business Entities | Evidence Based Treatment Centers of Seattle (EBTCS), PLLC | 1200 5th Ave, Suite 800, Seattle, WA 98101 |
| Street Address |
1218 3RD AVE SUITE 500 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-3097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902829278 | Christopher C Gant | Physical Therapist | 1218 3rd Ave, Suite 104, Seattle, WA 98101-3097 | 2006-07-26 |
| 1023565553 | Emily Adelson | Physical Therapist | 1218 3rd Ave, Seattle, WA 98101-3097 | 2016-09-01 |
| 1760856199 | Lauren Chappelle | Physical Therapist | 1218 3rd Ave, Ste 104, Seattle, WA 98101-3097 | 2015-11-23 |
| 1205231347 | Leshelle Lencioni | Physical Therapist | 1218 3rd Ave, Suite 104, Seattle, WA 98101-3097 | 2014-10-31 |
| 1265677157 | Alison Paige Leary | Psychologist | 1218 3rd Ave, Suite #500, Seattle, WA 98101-3097 | 2008-12-08 |
| 1225216716 | Stacy Shaw Welch | Psychologist | 1218 3rd Ave, Suite 500, Seattle, WA 98101-3097 | 2008-02-06 |
| 1649480765 | Beatriz Aramburu | Psychologist | 1218 3rd Ave, Suite 500, Seattle, WA 98101-3097 | 2007-05-23 |
| 1073723128 | Jennifer Sayrs | Psychologist | 1218 3rd Ave, Suite 500, Seattle, WA 98101-3097 | 2007-05-23 |
| 1356411011 | Core Physical Therapy PC | Clinic/Center | 1218 3rd Ave, Suite 104, Seattle, WA 98101-3097 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392548 | Ryan Wathne Pllc | Community/Behavioral Health | 2711 E Madison St Ste 203, Seattle, WA 98112-4763 | 2020-06-26 |
| 1336786243 | Seneca Family of Agencies | Community/Behavioral Health | 1812 Sw Myrtle St, Seattle, WA 98106-1644 | 2019-12-10 |
| 1154968063 | Seneca Family of Agencies | Community/Behavioral Health | 6020 Rainier Ave S, Seattle, WA 98118-2776 | 2019-12-10 |
| 1053958124 | Seneca Family of Agencies | Community/Behavioral Health | 4030 Ne 109th St, Seattle, WA 98125-7934 | 2019-12-07 |
| 1932756020 | Autism Compassion Services | Community/Behavioral Health | 1823 Minor Ave Apt 2704, Seattle, WA 98101-0930 | 2019-08-22 |
| 1538625801 | Supported Solution, LLC | Community/Behavioral Health | 4414 Sw Graham St, Seattle, WA 98136-1440 | 2019-02-12 |
| 1679044333 | Constructional Consultants LLC | Community/Behavioral Health | 1233 Ne 69th St, Seattle, WA 98115-6747 | 2018-12-06 |
| 1811479249 | Claudelle R Glasgow, Psyd, Pllc | Community/Behavioral Health | 1105 23rd Ave, Seattle, WA 98122-4859 | 2018-09-01 |
| 1063917607 | Creative Therapy | Community/Behavioral Health | 2366 Eastlake Ave E Ste 402, Seattle, WA 98102-3394 | 2018-03-26 |
| 1952809857 | Community Care LLC | Community/Behavioral Health | 5424 Delridge Way Sw Unit A, Seattle, WA 98106-1439 | 2018-01-25 |
| Find all providers in SEATTLE | ||||
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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.