KATIES WAY
NPI 1285405522
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Tacoma, WA

NPI Status: Active since January 15, 2024

Contact Information

6704 TACOMA MALL BLVD STE 111
TACOMA, WA
ZIP 98409
Phone: (253) 260-3460
Fax: (253) 397-3443

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  • Organization
  • Psychiatry & Neurology
  • Behavioral Neurology & Neuropsychiatry

About KATIES WAY

This page provides the complete NPI Profile along with additional information for Katies Way, a provider established in Tacoma, Washington operating as a Psychiatry & Neurology, focusing in behavioral neurology & neuropsychiatry . The healthcare provider is registered in the NPI registry with number 1285405522 assigned on January 2024. The practitioner's primary taxonomy code is 2084B0040X. The provider is registered as an organization and their NPI record was last updated one year ago. Katies Way operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Katies Way. The authorized official of this NPI record is Kelly Rae Johnson (Credentialing Director)

NPI
1285405522
Provider Legal Name
KATIE'S WAY TACOMA, LLC
Other Organization Name
KATIES WAY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6704 TACOMA MALL BLVD STE 111 TACOMA, WA 98409
Location Phone
(253) 260-3460
Location Fax
(253) 397-3443
Mailing Address
6704 TACOMA MALL BLVD STE 111 TACOMA, WA 98409
Mailing Phone
(253) 260-3460
Mailing Fax
(253) 397-3443
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2024
Last Update Date
11-21-2024
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Location Map

Secondary Locations

  • 1175 CENTRAL DRIVE SUITE 130
    DUPOINT, WA 98327
    (253) 260-6521

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry

Taxonomy Code
2084B0040X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
2103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

 
3103T00000XBehavioral Health & Social Service Providers

Psychologist

 
4103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
5103TP0016XBehavioral Health & Social Service Providers

Psychologist
Prescribing (Medical)

 
6103TP0814XBehavioral Health & Social Service Providers

Psychologist
Psychoanalysis

 
71041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
8106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
9202D00000XAllopathic & Osteopathic Physicians

Integrative Medicine

 
10207QA0505XAllopathic & Osteopathic Physicians

Family Medicine
Adult Medicine

 
112084P0015XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychosomatic Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLY RAE JOHNSON

Authorized Official Title
CREDENTIALING DIRECTOR
Authorized Official Phone
(785) 320-6616

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285405522
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165801054
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 8 + 0 + 1 + 0 + 5 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1285405522 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407553167 DARIAN J HAWKE DNP, PMHNP, ARNP,CEN
Individual
Nurse Practitioner (Psychiatric/Mental Health)6704 TACOMA MALL BLVD STE 111
TACOMA, WA 98409
(253) 260-6521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285405522, enumerated in the NPI registry as an "organization" on January 15, 2024

The provider is located at 6704 Tacoma Mall Blvd Ste 111 Tacoma, Wa 98409 and the phone number is (253) 260-3460

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084B0040X with a focus in Behavioral Neurology & Neuropsychiatry

This NPI record was last updated on January 15, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.