CENTER FOR HUMAN SERVICES (NPI# 1730266917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730266917 |
| Entity Type | Organization |
| Organization Name | CENTER FOR HUMAN SERVICES |
| Other Organization Name | CHS NORTHSHORE 23RD |
| Practice Address |
22105 23rd Dr Se Bothell WA 98021-4409 |
| Mailing Address |
17018 15th Ave Ne Shoreline WA 98155-5126 |
| Practice Telephone | 2063627282 |
| Practice Fax Number | 2063627152 |
| Mailing Telephone | 2063627282 |
| Mailing Fax Number | 2063627152 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-06-14 |
| Authorized Official Name | BERATTA GOMILLION (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2063627282 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR HUMAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | 17126000 | WA | Agencies |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
17126000 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1995265 | 05 |
| Other Name | Type Code |
|---|---|
| CHS Northshore 23rd | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598103624 | Center for Human Services | Case Management | 18414 103rd Ave Ne, Bothell, WA 98011-3410 | 2013-06-11 |
| 1306121074 | Center for Human Services | Community/Behavioral Health | 1300 Patchett Dr, Newman, CA 95360-1434 | 2011-10-13 |
| 1336442722 | Center for Human Services | Community/Behavioral Health | 631 W F St, Oakdale, CA 95361-3734 | 2010-12-07 |
| 1104079300 | Center for Human Services | Community/Behavioral Health | 1317 Grandview Ave, Ceres, CA 95307-4405 | 2008-10-31 |
| 1669675609 | Center for Human Services | Counselor | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2007-06-07 |
| 1194858076 | Center for Human Services | Community/Behavioral Health | 700 F St, Patterson, CA 95363-2669 | 2007-03-13 |
| 1437288222 | Center for Human Services | Community/Behavioral Health | 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 | 2007-03-05 |
| 1023197795 | Center for Human Services | Counselor | 23200 100th Ave W, Edmonds, WA 98020-5020 | 2006-11-03 |
| 1053498220 | Center for Human Services | Counselor | 17018 15th Ave Ne, Shoreline, WA 98155-5126 | 2006-11-01 |
| 1063963015 | Center for Human Services | Community/Behavioral Health | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2016-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTER FOR HUMAN SERVICES CORPORATION | 5404 Wisconsin Ave Ste 800, Chevy Chase, MD 20815-3594 |
| Street Address |
22105 23RD DR SE |
| City | BOTHELL |
| State | WA |
| Zip Code | 98021-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057780 | Seyed Ali Hosseini | Medical Genetics | 4299 233rd Pl Se, Bothell, WA 98021 | 2020-06-10 |
| 1710440359 | Hiu Nam Wong | Specialist/Technologist | 23419 17th Avenue Southeast, Bothell, WA 98021 | 2019-04-10 |
| 1578029823 | Andrea Lynn Whipple | Speech-Language Pathologist | 1909 124th Street Se, Suite 204, Bothell, WA 98021 | 2019-02-12 |
| 1730656604 | Pavittar Kaur Mansahia | Registered Nurse | Northshore School District, 3330 Monte Villa Parkway, Bothell, WA 98021 | 2018-10-30 |
| 1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
| 1174970495 | Tracey Comella | Behavioral Analyst | 2020 Maltby Road Suite 7 Pmb 294, Bothell, WA 98021 | 2016-05-17 |
| 1912332545 | Katherine Marie Zintel | Counselor | 1909 214th St Se Ste 204, Bothell, WA 98021 | 2013-09-13 |
| 1720332471 | Sharon Lynne Deering | Speech-Language Pathologist | 3330 Monte Villa Parkway, Northshore School District, Bothell, WA 98021 | 2012-11-02 |
| 1225302722 | Lynette Patricia Hansen | Massage Therapist | 510 222nd Street Sw, Bothell, WA 98021 | 2012-03-01 |
| 1669749891 | Susie Fox | Dietitian, Registered | 4026 224th St Se#6, Bothell, WA 98021 | 2011-11-16 |
| Find all providers in zip 98021 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1386278372 | Social Treatment Opportunity Programs II, Inc | Clinic/Center | 600 S 1st Ave, Othello, WA 99344-1703 | 2020-02-27 |
| 1326672692 | Excelsior Integrated Care Center LLC | Clinic/Center | 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 | 2020-02-26 |
| 1659919561 | Baart Behavioral Health Services, Inc. | Clinic/Center | 716 S Chase St, Port Angeles, WA 98362-6122 | 2019-12-11 |
| 1346888260 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 | 2019-12-11 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1780174441 | American Behavioral Health Systems, Inc. | Clinic/Center | 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 | 2018-05-17 |
| 1598255267 | American Behavioral Healt Systems, Inc. | Clinic/Center | 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 | 2018-05-17 |
| 1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
| 1487143350 | Steve Parker | Clinic/Center | 1206 State Ave Ste H, Marysville, WA 98270-3645 | 2018-05-07 |
| Find all providers with the same taxonomy | ||||
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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.