1104334150 NPI number — BASIC STEPS MENTAL HEALTH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104334150 NPI number — BASIC STEPS MENTAL HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BASIC STEPS MENTAL HEALTH
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:
Provider Other Organization Name Type Code:
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:
1104334150
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13322 HIGHWAY 99
Provider Second Line Business Mailing Address:
SUITE #102
Provider Business Mailing Address City Name:
EVERETT
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98204-5440
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-588-8438
Provider Business Mailing Address Fax Number:
425-328-1261

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13322 HIGHWAY 99
Provider Second Line Business Practice Location Address:
SUITE #102
Provider Business Practice Location Address City Name:
EVERETT
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98204-5440
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-588-8438
Provider Business Practice Location Address Fax Number:
425-328-1261
Provider Enumeration Date:
01/11/2018

Additional Information

Authorized Official

Authorized Official Last Name:
ALPERT
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
JEFFREY
Authorized Official Title or Position:
CLINICAL DIRECTOR
Authorized Official Telephone Number:
425-588-8438

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  1225173453 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X , with the licence number: 1225173453 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0850X , with the licence number: 1225173453 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 324500000X , with the licence number: 1225173453 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101Y00000X , with the licence number: 1225173453 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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