TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC. (NPI# 1659758639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659758639 |
| Entity Type | Organization |
| Organization Name | TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC. |
| Other Organization Name | TELECARE NORTH SOUND EVALUATION AND TREATMENT |
| Practice Address |
1803 N Sound Dr Sedro Woolley WA 98284-7697 |
| Mailing Address |
1080 Marina Village Parkway Suite 100 Alameda CA 94501-1078 |
| Practice Telephone | 3608547400 |
| Practice Fax Number | 3608547446 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | LESLIE DAVIS (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| TELECARE NORTH SOUND EVALUATION AND TREATMENT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568936557 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 7224 Pacific Highway East, Milton, WA 98354 | 2019-01-14 |
| 1982135554 | Telecare Mental Health Services of Washington, Inc. | Clinic/Center | 601 W Franklin St, Suite B, Shelton, WA 98584-3518 | 2017-03-24 |
| 1730532136 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 3285 Ferguson St Sw, Tumwater, WA 98512-6192 | 2016-07-20 |
| 1043828643 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-07-20 |
| 1598289324 | Telecare Mental Health Services of Washington, Inc. | Clinic/Center | 908 5th Ave Se, Olympia, WA 98501-1507 | 2017-08-02 |
| 1285963538 | Telecare Mental Health Services of Washington, Inc. | Community/Behavioral Health | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501-6427 | 2009-12-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC. | 1080 Marina Village Pkwy, Ste 100, Alameda, CA 94501 |
| Street Address |
1803 N SOUND DR |
| City | SEDRO WOOLLEY |
| State | WA |
| Zip Code | 98284-7697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088126 | Tammy L Reynolds | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-09-21 |
| 1689292005 | Nora Ann Tueffel | Registered Nurse | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-07-13 |
| 1265059927 | Marisa Lynn Kimmel | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-06-29 |
| 1669096319 | Monica Samuel | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-05-28 |
| 1154958189 | Debbie Vancooney | Technician, Health Information | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-03-27 |
| 1891322814 | Kathleen Farnsworth | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-03-27 |
| 1114550811 | Natalie Littlejohn | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-02-20 |
| 1619500568 | Tracie Grace | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-02-19 |
| 1689216343 | Peyton Emelia Kettleband | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2019-10-15 |
| 1760024426 | William E Kimmel | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2019-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138994 | Matthew Thomas Schaeffer | Counselor | 1690 Thompson Drive, Sedro Woolley, WA 98284 | 2020-09-09 |
| 1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
| 1730742842 | Joseph Q Elder | Counselor | 1803 North Sound Drive, Sedro Woolley, WA 98284 | 2019-04-16 |
| 1336610575 | John Allan Roeder II | Pharmacist | 320 Harrison St., Sedro-woolley, WA 98284 | 2018-12-16 |
| 1861931107 | Stacy Lee Chambers | Counselor | 1906 Thompson Drive, Sedro Woolley, WA 98284 | 2017-02-20 |
| 1033657309 | Carol Totten | Social Worker | 1960 Thompson Dr., Sedro-woolley, WA 98284 | 2017-02-07 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1013210111 | Ashley L Shaner | Physical Therapist | 709 Cook Rd, Sedro Woolley, WA 98284 | 2010-12-10 |
| 1417195660 | Susan L Pearson | Massage Therapist | 12263 N. Mill Street, Clearlake, WA 98284 | 2009-01-27 |
| 1093950883 | Tamara Lyn Stone | Massage Therapist | 460 Hilltop Drive, Sedro Woolley, WA 98284 | 2008-12-08 |
| Find all providers in zip 98284 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336517309 | Jamie Michelle Polubinski | Psychiatric Residential Treatment Facility | 7825 N Sound Dr, Sedro Woolley, WA 98284-7675 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568936557 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 7224 Pacific Highway East, Milton, WA 98354 | 2019-01-14 |
| 1790298347 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2017-11-06 |
| 1699223826 | Center for Discovery | Psychiatric Residential Treatment Facility | 2202 S Cedar St Ste 175, Tacoma, WA 98405-2318 | 2016-09-16 |
| 1730532136 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 3285 Ferguson St Sw, Tumwater, WA 98512-6192 | 2016-07-20 |
| 1922489392 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 7511 176th St Sw, Edmonds, WA 98026-5529 | 2015-06-11 |
| 1780072900 | The Emily Program PC | Psychiatric Residential Treatment Facility | 7275 N. Mercer Way, Mercer Island, WA 98040 | 2014-12-23 |
| 1437554359 | Recovery Innovations, Inc | Psychiatric Residential Treatment Facility | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2014-11-04 |
| 1760796130 | Project Patch | Psychiatric Residential Treatment Facility | 2404 E Mill Plain Blvd Ste 4, Vancouver, WA 98661-4334 | 2010-07-28 |
| 1891950630 | Allen Douglas Webb Jr. | Psychiatric Residential Treatment Facility | 815 S Pearl, Pearl Street Center, Tacoma, WA 98465 | 2008-07-22 |
| 1679613905 | Tamarack Center | Psychiatric Residential Treatment Facility | 2901 W Fort George Wright Dr, Spokane, WA 99224-5202 | 2007-02-07 |
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| City | SEDRO WOOLLEY |
| Zip Code | 98284 |
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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.