OrganizationActive
Mountainside Psychiatric Services
NPI 1518979434 · Preferred Provider Organization · Lakewood, WA
Provider details
- NPI number
- 1518979434
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kathleen Potter, Owner/Operator(253) 460-9414
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10209 Bridgeport Way Sw
Suite D 10
Lakewood, WA 98499-2320
Phone: (253) 460-9414
Fax: (253) 460-0999
Street-level locationGet directions
Mailing address
10209 Bridgeport Way Sw
Lakewood, WA 98499-2326
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2008-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.