Organization
MOUNTAINSIDE PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN HUGHES POTTER MN, ARNP (OWNER/OPERATOR)
(253) 460-9414
Entity
Organization
Contact information
Practice address
10209 BRIDGEPORT WAY SW, SUITE D 10, LAKEWOOD, WA 98499-2320
(253) 460-9414
(253) 460-0999
Mailing address
10209 BRIDGEPORT WAY SW, SUITE D 10, LAKEWOOD, WA 98499-2326
(253) 460-9414
(253) 460-0999
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
08/12/2006
Last updated
08/25/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up