PENINSULA PSYCHOLOGICAL CENTER, INC., P.S. (NPI# 1346274289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346274289 |
Entity Type | Organization |
Organization Name | PENINSULA PSYCHOLOGICAL CENTER, INC., P.S. |
Practice Address |
1191 Nw Tahoe Silverdale WA 98383 |
Mailing Address |
1191 Nw Tahoe Lanepo Box 3428 Silverdale WA 98383 |
Practice Telephone | 3606984860 |
Practice Fax Number | 3606983849 |
Mailing Telephone | 3606984860 |
Mailing Fax Number | 3606983849 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2012-09-11 |
Authorized Official Name | DR. WILLIAM JOHN RARICK (PRESIDENT) |
Authorized Official Telephone | 3606984860 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY00001490 | WA | Behavioral Health & Social Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | PENINSULA PSYCHOLOGICAL CENTER, INC., P.S. | 1191 Nw Tahoe Ln, Silverdale, WA 98383-7954 |
Street Address |
1191 NW TAHOE |
City | SILVERDALE |
State | WA |
Zip Code | 98383 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
Find all providers in zip 98383 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447887427 | Kitsap Peninsula Ocd & Anxiety Services Pllc | Psychologist | 9226 Bay Shore Dr Nw Ste 204, Silverdale, WA 98383-9196 | 2020-03-27 |
1225574171 | Roger Bailey | Psychologist | 10610 Contact Ct Nw, Silverdale, WA 98383-9215 | 2017-01-17 |
1861547739 | Zachary Jenkins | Psychologist | 3431 Nw Lowell St, Silverdale, WA 98383-9120 | 2007-01-23 |
1093770026 | William John Rarick | Psychologist | 1191 Nw Tahoe Ln, Silverdale, WA 98383-7954 | 2006-04-20 |
1730623521 | Joseph Aloysius Jensen | Psychologist | 3501 Nw Lowell St, #201, Silverdale, WA 98383-7851 | 2016-12-13 |
1013971902 | Dan E Dunlap Sr. | Psychologist | 9201 Silverdale Way Nw, Silverdale, WA 98383 | 2006-04-17 |
1366406969 | Carl Richard Westphal | Psychologist | 1191 Nw Tahoe Lane, Silverdale, WA 98383 | 2006-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
1902411366 | Shanna Drinkwine | Psychologist | 1993 Governor Rd, Bellingham, WA 98229-3413 | 2020-09-12 |
1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
1487263711 | Tiffany Mohr | Psychologist | 927 College Ln Ne Unit B, Lacey, WA 98516-3740 | 2020-07-22 |
1265055172 | Dani Nierenberg Phd Bcb Pllc | Psychologist | 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 | 2020-05-27 |
1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
1003435694 | Jared Newman Kilmer | Psychologist | 12025 115th Ave Ne Ste 215, Kirkland, WA 98034-6943 | 2020-04-13 |
1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
1659910057 | Caitlin Stanaway | Psychologist | 7615 S 134th St, Seattle, WA 98178-5112 | 2020-01-02 |
Find all providers with the same taxonomy |
City | SILVERDALE |
Zip Code | 98383 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.