ISLAND CENTER FOR COMPLEMENTARY MEDICINE INC P S (NPI# 1437270675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437270675 |
| Entity Type | Organization |
| Organization Name | ISLAND CENTER FOR COMPLEMENTARY MEDICINE INC P S |
| Practice Address |
4649 Sunnyside Ave N Suite 343 Seattle WA 98103-6900 |
| Mailing Address |
6826 28th Ave Ne Seattle WA 98115-7145 |
| Practice Telephone | 2062150534 |
| Practice Fax Number | 2065246530 |
| Mailing Telephone | 2065250750 |
| Mailing Fax Number | 2065246530 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | MS. DEBORAH ROSE HOUSEWORTH (PRESIDENT) |
| Authorized Official Telephone | 2065250750 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LH00003885 | WA | Behavioral Health & Social Service Providers |
| N | 171100000X | Acupuncturist | AC00000208 | WA | Other Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00003885 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528189768 | Island Center for Complementary Medicine Inc P S | Counselor | 840 Se Bayshore Dr, Suite 204, Oak Harbor, WA 98277-4062 | 2007-04-03 |
| 1518081975 | Island Center for Complementary Medicine Inc P S | Counselor | 220 1st St., Langley, WA 98260-0299 | 2007-03-19 |
| Street Address |
4649 SUNNYSIDE AVE N SUITE 343 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-6900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821059221 | Elisa Scherb | Physical Therapist | 4649 Sunnyside Ave N, Suite 302, Seattle, WA 98103-6900 | 2006-03-28 |
| 1912245192 | Andrew Eisen Physical Therapy, LLC | Physical Therapist | 4649 Sunnyside Ave N, Suite 302, Seattle, WA 98103-6900 | 2013-01-23 |
| 1760749774 | Sheryl Anya Woestwin | Counselor | 4649 Sunnyside Ave N, #342, Seattle, WA 98103-6900 | 2012-04-13 |
| 1043597313 | A Positive Alternative | Counselor | 4649 Sunnyside Ave N, Suite 200, Seattle, WA 98103-6900 | 2011-11-14 |
| 1629378997 | Seattle Holistic Center | Registered Nurse | 4649 Sunnyside Ave N, Ste#302, Seattle, WA 98103-6900 | 2010-11-02 |
| 1760799506 | Sarah C Reed | Social Worker | 4649 Sunnyside Ave N, Room 341, Seattle, WA 98103-6900 | 2010-08-31 |
| 1013248327 | Michael Hamm | Massage Therapist | 4649 Sunnyside Ave N, Ste 300, Seattle, WA 98103-6900 | 2010-01-26 |
| 1790916906 | Julie Anne Morse | Massage Therapist | 4649 Sunnyside Ave N, Seattle, WA 98103-6900 | 2009-08-05 |
| 1700026192 | Colette Crawford | Registered Nurse | 4649 Sunnyside Ave N, Suite#301, Seattle, WA 98103-6900 | 2009-02-25 |
| 1356580849 | Christina M Cramer | Reflexologist | 4649 Sunnyside Ave N, Seattle, WA 98103-6900 | 2009-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407745 | Julie Mcgowan | Counselor | 9222 12th Ave Sw, Seattle, WA 98106-2908 | 2020-11-06 |
| 1043811292 | Satya Wellness Collective, LLC | Counselor | 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 | 2020-11-04 |
| 1366043960 | Nidhi Amy Rastogi | Counselor | 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 | 2020-11-02 |
| 1124628797 | Krista P Marceron | Counselor | 1421 34th Ave Ste 207, Seattle, WA 98122-3634 | 2020-10-31 |
| 1326648064 | Taylor Ferry | Counselor | 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 | 2020-10-30 |
| 1710587969 | Brenton Brooks Page Jr. | Counselor | 819 N 49th St Ste 303, Seattle, WA 98103-6577 | 2020-10-27 |
| 1215536719 | Jessica Aarsvold | Counselor | 1 Ward St Unit 5, Seattle, WA 98109-3627 | 2020-10-26 |
| 1972102911 | Philip H Benjamin | Counselor | Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 | 2020-10-21 |
| 1588263834 | Laura Gardener | Counselor | 216 25th Ave, Seattle, WA 98122-6104 | 2020-10-19 |
| 1265031512 | Mykel Ziolo | Counselor | 11700 Evanston Ave N, Seattle, WA 98133-8225 | 2020-10-19 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on ISLAND CENTER FOR COMPLEMENTARY MEDICINE INC P S.
| 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.