| Peninsula Psychological Center, Inc., P.s. | |
|
1191 Nw Tahoe Silverdale WA 98383 | |
| (360) 698-4860 | |
| (360) 698-3849 |
| Full Name | Peninsula Psychological Center, Inc., P.s. |
|---|---|
| Speciality | Psychologist |
| Location | 1191 Nw Tahoe, Silverdale, Washington |
| Authorized Official Name and Position | Elliott Richelson (PRESIDENT) |
| Authorized Official Contact | 9046054983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Psychological Center, Inc., P.s. 1191 Nw Tahoe Lanepo Box 3428 Silverdale WA 98383 Ph: (360) 698-4860 | Peninsula Psychological Center, Inc., P.s. 1191 Nw Tahoe Silverdale WA 98383 Ph: (360) 698-4860 |
| NPI Number | 1346274289 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Medicare PECOS PAC ID | 1456321785 |
|---|---|
| Medicare Enrollment ID | O20040726001320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346274289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00001490 (Washington) | Primary |
| Provider Name | Brendan J Reilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215994710 PECOS PAC ID: 7810080900 Enrollment ID: I20070905000743 |
| Provider Name | Leslie A Savage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831195486 PECOS PAC ID: 8921191933 Enrollment ID: I20070907000244 |
| Provider Name | Frances L Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861548125 PECOS PAC ID: 6406938331 Enrollment ID: I20080130000504 |
| Provider Name | Julie A Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205899614 PECOS PAC ID: 6204905011 Enrollment ID: I20080520000536 |
| Provider Name | Judith G Collins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114179462 PECOS PAC ID: 0648331421 Enrollment ID: I20081211000714 |
| Provider Name | Mireille B Reece |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841434123 PECOS PAC ID: 3476603416 Enrollment ID: I20090612000026 |
| Provider Name | Barbara L Starr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790849214 PECOS PAC ID: 2769795244 Enrollment ID: I20150714000777 |
| Provider Name | Susan M Heng |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235162876 PECOS PAC ID: 3173422466 Enrollment ID: I20160809000330 |
| Provider Name | Deborah A Marcet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871551168 PECOS PAC ID: 3274680921 Enrollment ID: I20180129001372 |
| Provider Name | Caitlin Rippey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891182770 PECOS PAC ID: 0547576712 Enrollment ID: I20190709001263 |
| Provider Name | Deborah Lee Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518433721 PECOS PAC ID: 6406281534 Enrollment ID: I20200120001066 |
| Provider Name | Frank Charles Bashumika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868126 PECOS PAC ID: 2163823162 Enrollment ID: I20210629000462 |
| Provider Name | Mallory Grove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730539081 PECOS PAC ID: 7517250897 Enrollment ID: I20210907001063 |
| Provider Name | Wendy Marlene Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073747606 PECOS PAC ID: 9436555976 Enrollment ID: I20210908001583 |
| Provider Name | Walter Akwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003119116 PECOS PAC ID: 5193118370 Enrollment ID: I20220210002507 |
| Provider Name | Kenneth Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154974558 PECOS PAC ID: 5597142695 Enrollment ID: I20220511000637 |
| Provider Name | Jessica Lee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710504311 PECOS PAC ID: 3173901881 Enrollment ID: I20220609000547 |
| Provider Name | Kippy Mcelya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881332781 PECOS PAC ID: 5092717975 Enrollment ID: I20220824002435 |
| Provider Name | Mariana Nibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992321137 PECOS PAC ID: 8325437593 Enrollment ID: I20221110000225 |
| Provider Name | Jordan G Houghton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376186031 PECOS PAC ID: 7618333733 Enrollment ID: I20230516002022 |
| Provider Name | Kathy Edison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700521184 PECOS PAC ID: 7911384573 Enrollment ID: I20230613001558 |
| Provider Name | Laurie Strom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841546801 PECOS PAC ID: 3375901705 Enrollment ID: I20230616001762 |
| Provider Name | Katie Marie Ladenburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457893877 PECOS PAC ID: 1153789243 Enrollment ID: I20230622000332 |
| Provider Name | Chanin J Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851630032 PECOS PAC ID: 9931346830 Enrollment ID: I20230627002809 |
| Provider Name | Francis Reginald Iacobucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487212916 PECOS PAC ID: 2860854304 Enrollment ID: I20230815001872 |
| Provider Name | Keri Damsgaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366049389 PECOS PAC ID: 2062866197 Enrollment ID: I20230923000391 |
| Provider Name | Tom Freeman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619302916 PECOS PAC ID: 8224488218 Enrollment ID: I20240103003034 |
| Provider Name | Christie M Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134273634 PECOS PAC ID: 6709251804 Enrollment ID: I20240108000977 |
| Provider Name | Timothy David Jenkins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235347014 PECOS PAC ID: 5496106049 Enrollment ID: I20240108004120 |
| Provider Name | Hanna Doyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083132757 PECOS PAC ID: 1052764131 Enrollment ID: I20240124004130 |
| Provider Name | Samantha Dee Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093473266 PECOS PAC ID: 3072956226 Enrollment ID: I20240205003980 |
| Provider Name | Heather Raye Carstens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104881135 PECOS PAC ID: 1254774060 Enrollment ID: I20240208003096 |
| Provider Name | Jimita Rae Baugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578129409 PECOS PAC ID: 0244676112 Enrollment ID: I20240313004179 |
Mt. Constance Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9226 Bayshore Dr Nw, Suite 150, Silverdale, WA 98383 Phone: 360-698-1321 Fax: 360-308-0447 | |
Dr. Tutty, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9633 Levin Rd Nw, Suite 102, Silverdale, WA 98383 Phone: 206-499-7732 | |
Kitsap Family Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3587 Nw Anderson Hill Rd, Silverdale, WA 98383 Phone: 360-434-7097 Fax: 360-698-5967 | |
Easter Seals Washington Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Nw Bucklin Hill Rd, Suite 215, Silverdale, WA 98383 Phone: 360-337-2222 | |
Mountain View Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Nw Bucklin Hill Rd Ste 246, Silverdale, WA 98383 Phone: 208-841-8559 | |
Deborah Rue, Lmft, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8987 Mcconnell Ave Nw, Silverdale, WA 98383 Phone: 360-271-2750 Fax: 360-307-8657 | |
Partum Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9307 Bay Shore Dr Nw Ste 304, Silverdale, WA 98383 Phone: 206-635-9006 |