CONCERTO HEALTHCARE OF WASHINGTON, INC. (NPI# 1417328527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417328527 |
| Entity Type | Organization |
| Organization Name | CONCERTO HEALTHCARE OF WASHINGTON, INC. |
| Practice Address |
8815 S Tacoma Way Lakewood WA 98499-4587 |
| Mailing Address |
2030 Main St 600 Irvine CA 92614-7219 |
| Practice Telephone | 9493988413 |
| Mailing Telephone | 9493988413 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Authorized Official Name | MS. CINDY BECKER (SECRETARY) |
| Authorized Official Telephone | 9493988413 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | Y |
| Parent Organization Name | CONCERTO HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639541121 | Concerto Healthcare of Washington, Inc. | Clinic/Center | 2322 196th Street Sw, 100, Lynnwood, WA 98036 | 2015-10-23 |
| 1518338623 | Concerto Healthcare of Washington, Inc. | Clinic/Center | 2030 Main St, 600, Irvine, CA 92614-7219 | 2015-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CONCERTO HEALTHCARE OF WASHINGTON, INC. | 85 Enterprise, Suite 200, Aliso Viejo, CA 92656-2614 |
| Street Address |
8815 S TACOMA WAY |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-4587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992732788 | Araceli Cabarcas | Psychologist | 8815 S Tacoma Way, Lakewood, WA 98499 | 2006-06-27 |
| 1265040885 | Brenda Gail Bartosovsky | Behavior Technician | 8815 S Tacoma Way, Lakewood, WA 98499-4587 | 2020-07-20 |
| 1518596949 | Jennifer Cravens | Registered Nurse | 8815 S Tacoma Way, Lakewood, WA 98499-4587 | 2020-04-07 |
| 1831625490 | Micah Lauraine Ingalls | Behavioral Analyst | 8815 S Tacoma Way, Suite 122, Lakewood, WA 98499-4587 | 2017-05-02 |
| 1679014617 | Suzanne Morris | Behavioral Analyst | 8815 S Tacoma Way, Suite 122, Lakewood, WA 98499-4587 | 2017-03-09 |
| 1346785391 | Kendall Mooney | Behavioral Analyst | 8815 S Tacoma Way, Suite 122, Lakewood, WA 98499-4587 | 2016-12-29 |
| 1821446089 | Brittnie Sue Curtis | Nurse Practitioner | 8815 S Tacoma Way, Lakewood, WA 98499-4587 | 2016-05-28 |
| 1477907897 | Ashley Eades | Behavioral Analyst | 8815 S Tacoma Way, Suite 122, Lakewood, WA 98499-4587 | 2016-04-21 |
| 1134559859 | Jenelle Bartlett | Counselor | 8815 S Tacoma Way, Suite 122, Lakewood, WA 98499-4587 | 2013-11-15 |
| 1326384363 | Reo Kim | Behavioral Analyst | 8815 S Tacoma Way, Suite 122, Lakewood, WA 98499-4587 | 2012-12-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1295002228 | Rebecca A Noren Dc LLC | Clinic/Center | 1360 S Wadsworth Blvd, 103, Lakewood, CO 80232-5415 | 2011-11-18 |
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| 1740764109 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 3850 S Meridian Ste 3, Puyallup, WA 98373-3701 | 2018-09-21 |
| 1841774809 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 3811 Broadway Ste 3, Everett, WA 98201-5031 | 2018-09-17 |
| 1750865713 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 2602 S 38th St Ste C, Tacoma, WA 98409-7303 | 2018-09-17 |
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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.