| Center For Positive Change Llc | |
|
1136 Water St Ste 105 Port Townsend WA 98368-6728 | |
| (360) 385-1030 | |
| (775) 243-9945 |
| Full Name | Center For Positive Change Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1136 Water St Ste 105, Port Townsend, Washington |
| Authorized Official Name and Position | Timothy David Berry (PRESIDENT) |
| Authorized Official Contact | 3603851030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Positive Change Llc 1136 Water St Ste 105 Port Townsend WA 98368-6728 Ph: (360) 385-1030 | Center For Positive Change Llc 1136 Water St Ste 105 Port Townsend WA 98368-6728 Ph: (360) 385-1030 |
| NPI Number | 1063982247 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 1850727264 |
|---|---|
| Medicare Enrollment ID | O20200203002440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063982247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Timothy D Berry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972623411 PECOS PAC ID: 6800822024 Enrollment ID: I20200204000458 |
| Provider Name | Autumn L. Berry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922864446 PECOS PAC ID: 5294174835 Enrollment ID: I20240416002610 |
Madrona Institute Of Washington Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 884 W Park Ave, Port Townsend, WA 98368 Phone: 360-385-0321 Fax: 360-385-3944 | |
Safe Harbor Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 686 Lake St Ste 400, Port Townsend, WA 98368 Phone: 360-385-3866 | |
Olympic Aba Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4645 Bell Street, Port Townsend, WA 98368 Phone: 360-643-0034 Fax: 360-208-0665 | |
Jumping Mouse Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 Sheridan St, Port Townsend, WA 98368 Phone: 360-379-5109 Fax: 360-385-2684 | |
Port Townsend Psychiatric Medicine Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 210 Polk St Ste 4a, Port Townsend, WA 98368 Phone: 360-385-9818 Fax: 360-385-1496 | |
Nebari Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1136 Water St Ste 102, Port Townsend, WA 98368 Phone: 360-207-4745 |