OrganizationActive
Pacific Mental Health
NPI 1679970925 · Community/Behavioral Health Agency · Edmonds, WA
Provider details
- NPI number
- 1679970925
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carolyn Russo, Part Owner(206) 658-3920
- License
- LH60500437 (WA)
Specialties & taxonomies
Agencies
Agencies
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
316 Main St
Suite A1
Edmonds, WA 98020-3197
Phone: (206) 658-3920
Street-level locationGet directions
Mailing address
230 Nw 201st St
Shoreline, WA 98177-2012
Registry dates
- Enumerated
- 2014-12-02
- Last updated
- 2014-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.