PSYCHIATRIC SERVICES OF OLYMPIA PLLC


Address: 2114 Caton Way Sw, 201, Olympia, WA 98502-1177
Phone: 3607093332

PSYCHIATRIC SERVICES OF OLYMPIA PLLC (NPI# 1760811475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760811475
Entity Type Organization
Organization Name PSYCHIATRIC SERVICES OF OLYMPIA PLLC
Practice Address 2114 Caton Way Sw
201
Olympia
WA 98502-1177
Mailing Address 123 18th Ave Se
Olympia
WA 98501-2211
Practice Telephone 3607093332
Practice Fax Number 3607093336
Mailing Telephone 3607093332
Mailing Fax Number 3607093336
Enumeration Date 2013-11-04
Last Update Date 2013-11-04
Authorized Official Name MS. LINDAA SUE KELLAMS-KEITH (OWNER)
Authorized Official Telephone 3607093332
Authorized Official Credential A.R.N.P.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP30004049 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2114 CATON WAY SW
201
City OLYMPIA
State WA
Zip Code 98502-1177

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1336441765 Laura Wagner Nurse Practitioner 1700 Cooper Point Road Sw, Ste C-4, Olympia, WA 98502 2010-11-17
1992886956 Jennifer Ann Clingenpeel Nurse Practitioner 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 2006-10-18
1316574056 Tausha Mccarthy Nurse Practitioner 908 5th Ave Se, Olympia, WA 98501-1507 2020-03-24
1669016093 Tracie Ross Nurse Practitioner 908 5th Ave Se, Olympia, WA 98501-1507 2019-10-29
1952958803 Genuine Healthcare, Pllc Nurse Practitioner 1800 Cooper Point Rd Sw Ste 19, Olympia, WA 98502-1179 2019-08-23
1578039749 Melissa Jo Gallardo Nurse Practitioner 225 State Ave Ne, Olympia, WA 98501-6951 2018-10-15
1952897373 West Olympia Psychiatry Pllc Nurse Practitioner 924 7th Ave Se, Olympia, WA 98501-1548 2018-07-09
1124400783 Diana Liebner Nurse Practitioner 3857 Martin Way E, Olympia, WA 98506-5268 2015-06-19
1700267374 Amy Lorraine Heckler Nurse Practitioner 3030 Limited Ln Nw, Olympia, WA 98502-2704 2015-06-09
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Competitor

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City OLYMPIA
Zip Code 98502

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Dataset Information

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.

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