Eastside Behavioral Medicine
LBN: Eastside Behavioral Medicine
Eastside Behavioral Medicine is an health care organization with primary practice located at 1601 114Th Ave Se Suite 145, Bellevue WA 98004-6950. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty.
Eastside Behavioral Medicine can be contacted via phone (425) 454-3110, or through Capetillo, Darla via phone (425) 454-3110.
Contact Information
Primary practice address
1601 114Th Ave Se Suite 145
Bellevue WA 98004-6950
Phone: (425) 454-3110
Fax: (425) 283-0486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 602-967-118 | Washington |
Profile Details
| NPI number | 1952633737 |
|---|---|
| LBN Legal business name | Eastside Behavioral Medicine |
| DBA Doing business as | |
| Authorized official | Capetillo, Darla PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 4th, 2010 |
| Last updated | Feb 4th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952633737 | NPPES |
| Washington | Other | 0240031 | LABOR AND INDUSTRIES/MASON |
| Washington | Other | 0221560 | LABOR AND INDUSTRIES/MASON |
| Washington | Other | 602967118 | LABOR AND INDUSTRIES/MASON |
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