1316156656 NPI number — RYTHER

Table of content: (NPI 1316156656)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316156656 NPI number — RYTHER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RYTHER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RYTHER CHILD CENTER - MENTAL HEALTH
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316156656
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/28/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2400 NE 95TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98115-2426
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-525-5050
Provider Business Mailing Address Fax Number:
206-525-9795

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2400 NE 95TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98115-2426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-525-5050
Provider Business Practice Location Address Fax Number:
206-525-9795
Provider Enumeration Date:
05/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BRADY
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
206-525-5050

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  105 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 022757001 . This is a "GROUP HEALTH" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 100135 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7114994 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7116007 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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