| Jimi James, Phd, Inc, Ps | |
|
7500 Old Military Rd Ne Suite 101 Bremerton WA 98311-3241 | |
| (360) 613-4120 | |
| (360) 613-0373 |
| Full Name | Jimi James, Phd, Inc, Ps |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7500 Old Military Rd Ne, Bremerton, Washington |
| Authorized Official Name and Position | Jimi James (OWNER) |
| Authorized Official Contact | 3606134120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimi James, Phd, Inc, Ps 7500 Old Military Rd Ne Suite 101 Bremerton WA 98311-3241 Ph: (360) 613-4120 | Jimi James, Phd, Inc, Ps 7500 Old Military Rd Ne Suite 101 Bremerton WA 98311-3241 Ph: (360) 613-4120 |
| NPI Number | 1497905723 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 09/23/2008 |
| Medicare PECOS PAC ID | 5395803498 |
|---|---|
| Medicare Enrollment ID | O20081017000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497905723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY00001758 (Washington) | Primary |
| Provider Name | Jimi James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881775500 PECOS PAC ID: 5597833228 Enrollment ID: I20081008000601 |
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