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

Active since March 26, 2015
5436 232ND AVE SE, ISSAQUAH, WA 98029(206) 380-3009 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastside Social Skills Therapy Llc NPPES

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

EASTSIDE SOCIAL SKILLS THERAPY LLC (NPI 1659765816) is a healthcare organization registered as a preferred provider organization in Issaquah, Washington and active in the NPI registry since March 2015. The organization lists Penny J Lathum, Owner, as its authorized official.

NPPES Registry Identity

NPI1659765816
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameEASTSIDE SOCIAL SKILLS THERAPY LLC
Location Address5436 232ND AVE SEIssaquah, WA 98029
Mailing Address5436 232nd Ave SeIssaquah, WA 98029
Phone(206) 380-3009
Organization SubpartNo
Authorized OfficialPenny J LathumOwner · (206) 380-3009
Enumeration DateMarch 26, 2015
✔ NPI 1659765816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
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.
5436 232ND AVE SE, Issaquah, WA 98029
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 18

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

VERONICA OROPEZA QUIROZ
Behavior Analyst
5436 232ND AVE SE
ISSAQUAH, WA 98029
King County (206) 380-3009
KATHRYN COLE
Behavior Technician
5436 232ND AVE SE
ISSAQUAH, WA 98029
King County (206) 380-3009
ANTHONY KAIN REYES
Behavior Technician
5436 232ND AVE SE
ISSAQUAH, WA 98029
King County (206) 380-3009
ALLISON TAYLOR MOSES
Behavior Analyst
5436 232ND AVE SE
ISSAQUAH, WA 98029
King County (206) 380-3009
BENITO RAMOS-VAZQUEZ JR.
Behavior Technician
5436 232ND AVE SE
ISSAQUAH, WA 98029
King County (425) 635-8431
KYLE NEWITT
Behavior Technician
5436 232ND AVE SE
ISSAQUAH, WA 98029
King County (120) 638-0300
EMELIA M MONAHAN
Behavior Technician
5436 232ND AVE SE
ISSAQUAH, WA 98029
King County (425) 301-6470
DIBA SAMADANI
Behavior Technician
5436 232ND AVE SE
ISSAQUAH, WA 98029
King County (206) 380-3009

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 Eastside Social Skills Therapy LLC's NPI number?

The NPI number for Eastside Social Skills Therapy LLC is 1659765816. It was assigned to this organization in the NPPES registry on March 26, 2015.

Where is Eastside Social Skills Therapy LLC located?

Eastside Social Skills Therapy LLC is located at 5436 232nd Ave SE, Issaquah, WA 98029. The listed phone number is (206) 380-3009.

What is Eastside Social Skills Therapy LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

What insurance does Eastside Social Skills Therapy LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Eastside Social Skills Therapy LLC 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 Eastside Social Skills Therapy LLC was last updated on March 26, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.