1184042996 NPI number — MRS. SARA FRANCINE YORK LMFT, RPT, CMHS

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 1184042996 NPI number — MRS. SARA FRANCINE YORK LMFT, RPT, CMHS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YORK
Provider First Name:
SARA
Provider Middle Name:
FRANCINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT, RPT, CMHS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JONES
Provider Other First Name:
SARA
Provider Other Middle Name:
FRANCINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMFT, RPT, CMHS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1184042996
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15446 BEL RED RD STE 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
REDMOND
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98052-5507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-787-5589
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16301 NE 8TH ST. STE 150
Provider Second Line Business Practice Location Address:
PUGET SOUND CHILD AND FAMILY THERAPY
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-797-5589
Provider Business Practice Location Address Fax Number:
425-257-1767
Provider Enumeration Date:
03/31/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: LF60729575 , 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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