Sky Valley Psychedelic Medical – Health Service Clinic/Center, NPI 1689386807

Sky Valley Psychedelic Medical is a healthcare provider. based in Gold bar, Washington. specializing in Health Service Clinic/Center. The NPI Number for Sky Valley Psychedelic Medical is 1689386807

Main info

Organization
Name
Sky Valley Psychedelic Medical
NPI
1689386807
Phone
(707) 239-6190
Address
40016 145TH PL SE
Authorized Official
JOHN PALMER LOVEJOY PHYSICIAN
Enumeration Date
19 December 2022
Last Update Date
23 December 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Sky Valley Psychedelic Medical

  • 40016 145TH PL SE

    GOLD BAR, WA 982519471

    Phone: (707) 239-6190

    Fax: (707) 239-6190

    Type: Mailing

  • 101 E MAIN ST STE 209

    MONROE, WA 982721519

    Phone: (360) 949-7555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98251)

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Reviews

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Frequently asked questions

What number should I use to identify Sky Valley Psychedelic Medical for billing?
Administrative and clinical systems typically use NPI 1689386807 for Sky Valley Psychedelic Medical.
Quick check: is Sky Valley Psychedelic Medical active?
Public NPPES data shows Sky Valley Psychedelic Medical with an active NPI status right now.
What services align with Sky Valley Psychedelic Medical's listing?
Sky Valley Psychedelic Medical's public classification highlights Health Service Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Sky Valley Psychedelic Medical?
Sky Valley Psychedelic Medical is associated with Gold Bar, Washington in the same public data insurers reference.
Who maintains Sky Valley Psychedelic Medical's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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