TELECARE THURSTON MASON EVALUATION AND TREATMENT
NPI 1912420449
Community Based Residential Treatment Facility, Mental Illness in Olympia, WA
NPI Status: Active since July 17, 2017
Contact Information
3436 MARY ELDER RD NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 528-2590
Fax: (360) 528-2592
- Organization
- Community Based Residential Treatment Fa...
- Accepts Insurance
- CLIA Number: 50D2205754
- CLIA Cert. Type: Other - E AND T
- CLIA Exp. Date: 04-04-2028
About TELECARE THURSTON MASON EVALUATION AND TREATMENT
This page provides the complete NPI Profile along with additional information for Telecare Thurston Mason Evaluation And Treatment, a provider established in Olympia, Washington operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1912420449 assigned on July 2017. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Telecare Thurston Mason Evaluation And Treatment. The authorized official of this NPI record is Leslie Davis (Svp, Cfo)
- NPI
- 1912420449
- Provider Legal Name
- TELECARE MENTAL HEALTH SERVICES OF WASHINGTON INC
- Other Organization Name
- TELECARE THURSTON MASON EVALUATION AND TREATMENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3436 MARY ELDER RD NE OLYMPIA, WA 98506
- Location Phone
- (360) 528-2590
- Location Fax
- (360) 528-2592
- Mailing Address
- 1080 MARINA VILLAGE PKWY STE 100 ALAMEDA, CA 94501
- Mailing Phone
- (510) 337-7950
- Mailing Fax
- (360) 528-2592
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2017
- Last Update Date
- 12-14-2021
- Code Navigator
Location Map
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
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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) |
|---|---|---|---|---|
| 1 | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility |
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
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2205754
- Facility Type
- Other - E AND T
- Certificate Effective Date
- December 15, 2020
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- ANN STYRVOKY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Telecare Thurston Mason Evaluation And Treatment to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1912420449, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912420449, enumerated as an "organization" on July 17, 2017.
The provider is located at 3436 MARY ELDER RD NE OLYMPIA, WA 98506 and the phone number is (360) 528-2590.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
