| Catholic Charities Of The Diocese Of Yakima | |
|
5301 Tieton Dr Ste C Yakima WA 98908-3478 | |
| (509) 965-7100 | |
| (509) 966-9750 |
| Full Name | Catholic Charities Of The Diocese Of Yakima |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5301 Tieton Dr Ste C, Yakima, Washington |
| Authorized Official Name and Position | Darlene Elaine Darnell (CEO) |
| Authorized Official Contact | 5099657100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Diocese Of Yakima 5301 Tieton Dr Suite C Yakima WA 98908-3478 Ph: (509) 965-7100 | Catholic Charities Of The Diocese Of Yakima 5301 Tieton Dr Ste C Yakima WA 98908-3478 Ph: (509) 965-7100 |
| NPI Number | 1316248149 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 09/26/2019 |
| Medicare PECOS PAC ID | 2163594797 |
|---|---|
| Medicare Enrollment ID | O20140326000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316248149 | NPI | - | NPPES |
| 1980028 | Medicaid | WA |
| Provider Name | Marie Carmel Desire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922058783 PECOS PAC ID: 1355384595 Enrollment ID: I20050608000341 |
| Provider Name | Osama Bankesly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740356443 PECOS PAC ID: 8123057866 Enrollment ID: I20050811001070 |
| Provider Name | Debra Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053782102 PECOS PAC ID: 6305141151 Enrollment ID: I20160216002625 |
| Provider Name | Jason M Guest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649642778 PECOS PAC ID: 7618250085 Enrollment ID: I20170208002538 |
| Provider Name | Timothy J Stoddard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821212788 PECOS PAC ID: 9234023599 Enrollment ID: I20170217002130 |
| Provider Name | Kerry Scott Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316485998 PECOS PAC ID: 2062797814 Enrollment ID: I20170318000253 |
| Provider Name | Terri L. Brummet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881999001 PECOS PAC ID: 9537427190 Enrollment ID: I20180103002165 |
| Provider Name | Benjamin C Shuts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427389469 PECOS PAC ID: 7113270968 Enrollment ID: I20181025001195 |
| Provider Name | Carolyn Suzanne Berg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093222556 PECOS PAC ID: 5890183115 Enrollment ID: I20211019001660 |
| Provider Name | Kiti Ton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669530333 PECOS PAC ID: 2264470111 Enrollment ID: I20211213002488 |
| Provider Name | Mihaela G Corteza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992369243 PECOS PAC ID: 1658768502 Enrollment ID: I20220520000143 |
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