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CHILD & ADOLESCENT CLINIC, PS
NPI 1144275777
Pediatrics in Longview, WA

Active since May 23, 2006
971 11TH AVE, LONGVIEW, WA 98632(360) 577-1771(360) 423-1405 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Child & Adolescent Clinic, Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILD & ADOLESCENT CLINIC, PS (NPI 1144275777) is a healthcare organization registered as a pediatrics in Longview, Washington and active in the NPI registry since May 2006. The organization lists Phyllis Cavens, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1144275777
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILD & ADOLESCENT CLINIC, PS
Location Address971 11TH AVELongview, WA 98632
Mailing Address971 11th AveLongview, WA 98632-2503 · (360) 577-1771 · Fax (360) 423-1405
Phone(360) 577-1771
Fax(360) 423-1405
Organization SubpartNo
Authorized OfficialPhyllis CavensPhysician/owner · (360) 577-1771
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 24, 2018
✔ NPI 1144275777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
971 11TH AVE, Longview, WA 98632
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Other Identifiers 1

Medicaid7066202WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA M ROBERTS ARNP
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 577-1771
ANNETTE PEARL VILLE MD
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-6140
PROVIDENCE HEALTH & SERVICES OREGON
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 577-1771
CHILD AND ADOLESCENT CLINIC
Case Manager/Care Coordinator
971 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 577-1771
LEILA HOTAKI MESCH M.D.
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-6140
DR. JOHN LEIGH EY M.D.
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-6140
MARY JANE HALL ARNP
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 577-1771
DR. KENNETH R WU M.D.
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-6140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Child & Adolescent Clinic, Ps's NPI number?

The NPI number for Child & Adolescent Clinic, Ps is 1144275777. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Child & Adolescent Clinic, Ps located?

Child & Adolescent Clinic, Ps is located at 971 11th Ave, Longview, WA 98632. The listed phone number is (360) 577-1771.

What is Child & Adolescent Clinic, Ps's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Child & Adolescent Clinic, Ps accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Child & Adolescent Clinic, Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Child & Adolescent Clinic, Ps was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.