METROPOLITAN DEVELOPMENT COUNCIL (NPI# 1841692761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841692761 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN DEVELOPMENT COUNCIL |
| Practice Address |
945 Fawcett Ave Tacoma WA 98402-5612 |
| Practice Telephone | 2533833921 |
| Practice Fax Number | 2535932400 |
| Mailing Telephone | 2533833921 |
| Mailing Fax Number | 2535932400 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Authorized Official Name | P MARK PEREBOOM (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2535910113 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
600528267 | WA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720470057 | Metropolitan Development Council | Community Based Residential Treatment Facility, Mental Illness | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2015-02-24 |
| 1033511951 | Metropolitan Development Council | Clinic/Center | 945 Fawcett Ave, Tacoma, WA 98402-5612 | 2014-09-23 |
| 1548387004 | Metropolitan Development Council | Substance Abuse Rehabilitation Facility | 1110 Fryar Ave, Suite B, Sumner, WA 98390-1511 | 2007-03-22 |
| 1235255092 | Metropolitan Development Council | Substance Abuse Rehabilitation Facility | 721 South Fawcett, Suite 201, Tacoma, WA 98402-5502 | 2007-03-22 |
| 1205234424 | Metropolitan Development Council | Clinic/Center | 2342 Tacoma Ave S, Tacoma, WA 98402-1408 | 2014-12-22 |
| 1760622195 | Metropolitan Development Council | Community/Behavioral Health | 721 Fawcett Ave, Suite 201, Tacoma, WA 98402-5502 | 2009-02-25 |
| 1730206202 | Metropolitan Development Council | Substance Abuse Rehabilitation Facility | 10510 Gravelly Lake Dr Sw, Suite 210, Lakewood, WA 98499-5036 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | METROPOLITAN DEVELOPMENT COUNCIL, THE | 945 Fawcett Ave, Tacoma, WA 98402-5612 |
| Street Address |
945 FAWCETT AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033511951 | Metropolitan Development Council | Clinic/Center | 945 Fawcett Ave, Tacoma, WA 98402-5612 | 2014-09-23 |
| 1164078192 | Teresa R Cox | Nurse Practitioner | 945 Fawcett Ave, Tacoma, WA 98402-5612 | 2019-08-15 |
| 1700341310 | Thomas Wade Hatcher | Licensed Practical Nurse | 945 Fawcett Ave, Tacoma, WA 98402-5612 | 2019-02-07 |
| 1578027827 | Tepatasi Vaina | Case Manager/Care Coordinator | 945 Fawcett Ave, Tacoma, WA 98402-5612 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271223 | Christy Webster Legler, Pmhnp-bc, Pllc | Clinic/Center | 608 S G St, Tacoma, WA 98405-4625 | 2020-10-07 |
| 1356984355 | Sea - Mar Community Health Center | Clinic/Center | 1112 6th Ave Ste 301, Tacoma, WA 98405-4048 | 2019-10-22 |
| 1588166284 | Kristi Conner Licsw LLC | Clinic/Center | 2209 N 30th St Ste 1, Tacoma, WA 98403-3352 | 2018-03-08 |
| 1033511951 | Metropolitan Development Council | Clinic/Center | 945 Fawcett Ave, Tacoma, WA 98402-5612 | 2014-09-23 |
| 1699804435 | Catholic Community Services of Western Washington | Clinic/Center | 702 S 14th St, Tacoma, WA 98405-4407 | 2007-03-05 |
| 1093864589 | Catholic Community Services of Western Washington | Clinic/Center | 1001 N J St, Tacoma, WA 98403 | 2007-01-10 |
| 1932615630 | Telecare Mental Health Services of Washington, Inc | Clinic/Center | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2017-12-18 |
| 1982141784 | Sea Mar Community Health Centers | Clinic/Center | 1307 S 11th St, Tacoma, WA 98405-3644 | 2017-01-31 |
| 1487199469 | Sea Mar Community Health Centers | Clinic/Center | 3712 S Cedar St, Tacoma, WA 98409-5715 | 2016-12-29 |
| 1821453424 | Jennifer M Coates, Pllc | Clinic/Center | 1818 S Union Ave, Tacoma, WA 98405-1953 | 2015-12-23 |
| 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.