Unknown Individual – Psychiatry Physician, NPI 1073503553
Psychiatry Physician
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Profile Insights
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Provider Addresses for Unknown Individual
281 LANE DE CHANTEL
PORT TOWNSEND, WA 983689671
Phone: (360) 379-3500
Type: Location
1504, Clallam Street, Port Townsend, Jefferson County, Washington, 98368, United States
PORT TOWNSEND, WA 983684309
Phone: (360) 774-0220
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98368)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | WA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 99 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | MO | |
| - | TN | |
| Nurse Practitioner | MO | |
| Mental Health Counselor | WA | |
| P S Y C H I A T R Y | WA | |
| Nurse Practitioner | WA | |
| - | CA | |
| Nurse Practitioner | WA |
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