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Contact Information

CASCADE PSYCHIATRIC SERVICES, PSC
3802 BROADWAY STE B
EVERETT, WA98201-5032
 Phone: 425-259-6665
 Fax: 425-259-6014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Mental Health

101YM0800X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CASCADE PSYCHIATRIC SERVICES, PSC

NPI Number 1770737934
LBN Legal business name CASCADE PSYCHIATRIC SERVICES, PSC
Authorized official WOLFGANG KLAMP - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2008
Last updated 11/13/2008 - About 18 years ago
Identifiers
WA License # AP30007181
WA License # AP30007333
WA License # AP30007788
WA License # MD00009424
WA License # MD00023385
WA License # MD00035512
WA License # MD00037882
WA License # MD00042238
WA License # MD00045550
WA License # PA10003235
OR Other 1114077138 CMS
WA Other 1013009273 CMS
WA Other 1073575601 CMS
WA Other 1134178882 CMS
WA Other 1144276759 CMS
WA Other 1275724627 CMS
WA Other 1417920810 CMS
WA Other 1477713113 CMS
WA Other 1902097355 CMS
WA Other 1972632560 CMS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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