INNOVATIVE SERVICES NW (NPI# 1598716748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598716748 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE SERVICES NW |
| Other Organization Name | VANCOUVER CHILDREN'S THERAPY CENTER |
| Practice Address |
9414 Ne Fourth Plain Road Vancouver WA 98662 |
| Practice Telephone | 3608925142 |
| Practice Fax Number | 3608922157 |
| Mailing Telephone | 3608925142 |
| Mailing Fax Number | 3608922157 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | DENA STRONG (PRESIDENT & CEO) |
| Authorized Official Telephone | 3608235175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
600-03-8026 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Vancouver Children's Therapy Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INNOVATIVE SERVICES NW | 9414 Ne Fourth Plain Rd, Vancouver, WA 98662-6109 |
| Oregon Corporations, Companies and Business Names | INNOVATIVE SERVICES NW | 9414 Ne Fourth Plain Rd, Vancouver, WA 98662 |
| Street Address |
9414 NE FOURTH PLAIN ROAD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558891200 | Holly Leder | Speech-Language Pathologist | 9414 Ne Fourth Plain Road, Vancouver, WA 98662 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114098274 | Early Choice Pediatric Therapy, Pllc | Clinic/Center | 106 E 15th St, Vancouver, WA 98663-3401 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417446535 | Responding To Autism Services Inc. | Clinic/Center | 4206 W 24th Ave Ste B101, Kennewick, WA 99338-2321 | 2018-05-03 |
| 1609228774 | Kidsmarts | Clinic/Center | 2518 E Calhoun St, Seattle, WA 98112-2616 | 2016-07-12 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1265776918 | Public Hospital Dist No 1 Skagit | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2012-11-19 |
| 1407113236 | Olympic Peninsula Autism Center | Clinic/Center | 3500 Nw Bucklin Hill Rd, Suite 101, Silverdale, WA 98383-8503 | 2012-04-18 |
| 1144377094 | Childrens Hospital | Clinic/Center | 1135 116th Ave Ne, Bellevue, WA 98004-4623 | 2007-01-04 |
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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.