DEVELOP MINDED THERAPIES (NPI# 1730686445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730686445 |
| Entity Type | Organization |
| Organization Name | DEVELOP MINDED THERAPIES |
| Practice Address |
4040 S Tyler St Ste 9 Tacoma WA 98409-2143 |
| Practice Telephone | 2537502664 |
| Practice Fax Number | 2532154426 |
| Mailing Telephone | 2537502664 |
| Mailing Fax Number | 2532154426 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | MR. DATHAN LANE (OWNER) |
| Authorized Official Telephone | 2537502664 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEVELOP MINDED THERAPIES HEALTH HOMES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252019 | Develop Minded Therapies | Counselor | 4040 S Tyler St Ste 9, Tacoma, WA 98409-2143 | 2018-04-10 |
| 1154828770 | Develop Minded Therapies | Community/Behavioral Health | 4040 S Tyler St Ste 9, Tacoma, WA 98409-2143 | 2018-04-10 |
| 1609316256 | Develop Minded Therapies | Counselor | 4040 S Tyler St, 9, Tacoma, WA 98409-2158 | 2017-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DEVELOP MINDED THERAPIES | 4040 S Tyler St, Suite 9, Tacoma, WA 98409-2143 |
| Street Address |
4040 S TYLER ST STE 9 |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435120 | Elizabeth Ezell | Social Worker | 4040 S Tyler St Ste 9, Tacoma, WA 98409-2143 | 2020-10-21 |
| 1497252019 | Develop Minded Therapies | Counselor | 4040 S Tyler St Ste 9, Tacoma, WA 98409-2143 | 2018-04-10 |
| 1154828770 | Develop Minded Therapies | Community/Behavioral Health | 4040 S Tyler St Ste 9, Tacoma, WA 98409-2143 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710410964 | Emerald Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204a, Tacoma, WA 98409-7702 | 2017-04-05 |
| 1689870529 | Advanced Health Care | Home Health | 7047 S D St, Suite A, Tacoma, WA 98408-6112 | 2007-06-26 |
| 1487868451 | Res-care Washington, Inc. | Home Health | 747 St Helens Ave, Suite 200, Tacoma, WA 98402-3719 | 2007-05-09 |
| 1962549154 | Catholic Community Services of Western Washington | Home Health | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-01-30 |
| 1801825187 | Gentiva Certified Healthcare Corp. | Home Health | 4020 S 56th St, Suite 101, Tacoma, WA 98409-2615 | 2006-06-30 |
| 1033104575 | Advanced Health Care, Inc. | Home Health | 9116 Gravelly Lake Dr Sw, Suite B1, Tacoma, WA 98499-3148 | 2005-09-12 |
| 1609868413 | Good Samaritan Hospital | Home Health | 3901 S Fife St, Tacoma, WA 98409-7309 | 2005-08-17 |
| 1699311506 | Symbol Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204, Tacoma, WA 98409-7702 | 2019-11-26 |
| 1881023026 | Envision Home Health of Washington LLC | Home Health | 1818 S Union Ave Ste 1a, Tacoma, WA 98405 | 2013-11-07 |
| 1912242678 | Symbol Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204, Tacoma, WA 98409-7702 | 2012-12-06 |
| Find all providers in TACOMA | ||||
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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.