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Mountainside Psychiatric Services

NPI 1518979434ActiveOrganization· Preferred Provider Organization· Lakewood, WA

Preferred Provider Organization in Lakewood, Washington, registered in NPPES in August 2006. The authorized official on file is Kathleen Hughes Potter, MN, ARNP, Owner/Operator.

Overview

NPI1518979434
StatusActive
Entity typeOrganization
NPI issuedAug 12, 2006
Last updated in NPPESAug 25, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years