1710714878 NPI number — TURNSTONE PSYCHIATRY

Table of content: (NPI 1710714878)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710714878 NPI number — TURNSTONE PSYCHIATRY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TURNSTONE PSYCHIATRY
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:
1710714878
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/24/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2041
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EVERETT
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98213-0041
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-688-0025
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16824 44TH AVE W STE 170
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LYNNWOOD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98037-3117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-688-0025
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/13/2024

Additional Information

Authorized Official

Authorized Official Last Name:
CARY VERHEY
Authorized Official First Name:
COLLEEN
Authorized Official Middle Name:
BETH
Authorized Official Title or Position:
CEO/OWNER
Authorized Official Telephone Number:
360-688-0025

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1841868288 . This is a "TYPE 1 NPI FOR OWNER" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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