EASTSIDE SOCIAL SKILLS THERAPY LLC
NPI 1659765816
Preferred Provider Organization in Issaquah, WA

NPI Status: Active since March 26, 2015

Contact Information

5436 232ND AVE SE
ISSAQUAH, WA
ZIP 98029
Phone: (206) 380-3009

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  • Organization
  • Preferred Provider Organization
  • Accepts Insurance

About EASTSIDE SOCIAL SKILLS THERAPY LLC

This page provides the complete NPI Profile along with additional information for Eastside Social Skills Therapy Llc, a provider established in Issaquah, Washington operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1659765816 assigned on March 2015. The practitioner's primary taxonomy code is 305R00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Penny J Lathum M.ed, Bcba (Owner)

NPI
1659765816
Provider Name
EASTSIDE SOCIAL SKILLS THERAPY LLC
Entity Type
Organization
Location Address
5436 232ND AVE SE ISSAQUAH, WA 98029
Location Phone
(206) 380-3009
Mailing Address
5436 232ND AVE SE ISSAQUAH, WA 98029
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2015
Last Update Date
03-26-2015
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

PENNY J LATHUM M.ED, BCBA

Authorized Official Title
OWNER
Authorized Official Phone
(206) 380-3009

Reviews for EASTSIDE SOCIAL SKILLS THERAPY LLC

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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.
1659765816
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261091461082
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 4 + 6 + 1 + 0 + 8 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1659765816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598123515 ERIC WADE
Individual
Behavior Analyst5436 232ND AVE SE
ISSAQUAH, WA 98029
(425) 301-3416
1619335650 MARA GARCIA-OROPEZA
Individual
Behavior Analyst5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1003274929 VERONICA OROPEZA QUIROZ
Individual
Behavior Analyst5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1700246543 ADDIE COLLIERS
Individual
Behavior Analyst5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1902354921 SUDHA MOODLIAR
Individual
Behavior Analyst5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1093265167 KATHRYN COLE
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1912449729 CHRISTI M MIRET
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1154860914 ANTHONY KAIN REYES
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1841739000 JULIE CLOUSE
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1528592649 DIBA SAMADANI
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1720512577 PENNY JOHANSEN
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1477075265 KYLE NEWITT
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(120) 638-0300
1659870673 SOFIA ELISSE TOLEDO
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1356828669 ALLISON TAYLOR MOSES
Individual
Behavior Analyst5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1386271914 BENITO RAMOS-VAZQUEZ JR.
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(425) 635-8431
1487275715 EMELIA M MONAHAN
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(425) 301-6470
1962020586 SAIRA SHAHID
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009
1801405204 EMILY MILHOMME
Individual
Behavior Technician5436 232ND AVE SE
ISSAQUAH, WA 98029
(206) 380-3009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659765816, enumerated in the NPI registry as an "organization" on March 26, 2015

The provider is located at 5436 232nd Ave Se Issaquah, Wa 98029 and the phone number is (206) 380-3009

This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 26, 2015. 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].
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