| Behavioral Health Services | |
|
918 E Mead Ave Yakima WA 98903-3720 | |
| (509) 453-1344 | |
| Not Available |
| Full Name | Behavioral Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 918 E Mead Ave, Yakima, Washington |
| Authorized Official Name and Position | Juan Carlos Olivares (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5098655898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services 918 E Mead Ave Yakima WA 98903-3720 Ph: (509) 453-1344 | Behavioral Health Services 918 E Mead Ave Yakima WA 98903-3720 Ph: (509) 453-1344 |
| NPI Number | 1295788602 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 10/15/2007 |
| Medicare PECOS PAC ID | 4385541986 |
|---|---|
| Medicare Enrollment ID | O20040211000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295788602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Connie I Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538139027 PECOS PAC ID: 1355233313 Enrollment ID: I20040325001519 |
| Provider Name | Lylanya R Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225118714 PECOS PAC ID: 1557356235 Enrollment ID: I20040420001128 |
| Provider Name | Josephine L Ullom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497849723 PECOS PAC ID: 4880672211 Enrollment ID: I20040712000529 |
| Provider Name | Michael J Tacheny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265495972 PECOS PAC ID: 2264411685 Enrollment ID: I20040719000306 |
| Provider Name | Neil L Barg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134213457 PECOS PAC ID: 0840244893 Enrollment ID: I20050311000575 |
| Provider Name | Edward M Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013023738 PECOS PAC ID: 4587600788 Enrollment ID: I20050628000906 |
| Provider Name | Herman Benno Marx |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730275934 PECOS PAC ID: 3779504311 Enrollment ID: I20051212000433 |
| Provider Name | Kimberly Husch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154386316 PECOS PAC ID: 0749290245 Enrollment ID: I20060427000747 |
| Provider Name | Katheryn C Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124089875 PECOS PAC ID: 3274531009 Enrollment ID: I20061110000035 |
| Provider Name | Thatcher Felt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093713059 PECOS PAC ID: 8325040900 Enrollment ID: I20070212000087 |
| Provider Name | Mark E Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366407181 PECOS PAC ID: 5092815761 Enrollment ID: I20070710000726 |
| Provider Name | Jay K Callarman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780802694 PECOS PAC ID: 8729154307 Enrollment ID: I20080904000682 |
| Provider Name | Janet M Williams Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316188477 PECOS PAC ID: 7315094109 Enrollment ID: I20090414000367 |
| Provider Name | Vlastimil Calayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073757118 PECOS PAC ID: 6709931934 Enrollment ID: I20090911000159 |
| Provider Name | Sarah S Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528391414 PECOS PAC ID: 6800932658 Enrollment ID: I20091007000733 |
| Provider Name | Aaron D Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003057381 PECOS PAC ID: 1658417076 Enrollment ID: I20091015000030 |
| Provider Name | Lisa M Galbraith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528214020 PECOS PAC ID: 0840331351 Enrollment ID: I20100106000354 |
| Provider Name | Mark Farley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164518353 PECOS PAC ID: 4385787704 Enrollment ID: I20100208000568 |
| Provider Name | Kyle Heisey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982790176 PECOS PAC ID: 5092858415 Enrollment ID: I20100208000594 |
| Provider Name | Corinne Bassett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992731541 PECOS PAC ID: 2668500208 Enrollment ID: I20100503000307 |
| Provider Name | Michael H Gravatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053517961 PECOS PAC ID: 9931233178 Enrollment ID: I20100810000734 |
| Provider Name | Nadine B Foist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386709863 PECOS PAC ID: 3870781404 Enrollment ID: I20101227000585 |
| Provider Name | Tamera Schille |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902992100 PECOS PAC ID: 3971792508 Enrollment ID: I20110112000497 |
| Provider Name | Patricia Aurora Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437245628 PECOS PAC ID: 4789873357 Enrollment ID: I20110112001034 |
| Provider Name | Sean Thomas Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528027901 PECOS PAC ID: 9234328766 Enrollment ID: I20110113000805 |
| Provider Name | Michael E Jach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043304371 PECOS PAC ID: 9032308564 Enrollment ID: I20110113000831 |
| Provider Name | Flint W Orr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649366840 PECOS PAC ID: 1456540996 Enrollment ID: I20110113000893 |
| Provider Name | Jenifer F Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912096439 PECOS PAC ID: 6608055678 Enrollment ID: I20110122000000 |
| Provider Name | Marvin J Scotvold |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528154713 PECOS PAC ID: 4183803687 Enrollment ID: I20110131000569 |
| Provider Name | Diane Liebe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043309578 PECOS PAC ID: 9032399399 Enrollment ID: I20110203001100 |
| Provider Name | Alison D Madsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972701472 PECOS PAC ID: 1355521097 Enrollment ID: I20110211000646 |
| Provider Name | Jena S Worley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386851772 PECOS PAC ID: 1456531987 Enrollment ID: I20110215000832 |
| Provider Name | Charles Forster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598859829 PECOS PAC ID: 4587826771 Enrollment ID: I20120504000269 |
| Provider Name | Suman Pandey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396005682 PECOS PAC ID: 1951558675 Enrollment ID: I20120830000498 |
| Provider Name | Heather C Tacheny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851354849 PECOS PAC ID: 5597838854 Enrollment ID: I20121114000583 |
| Provider Name | Elizabeth A Boland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477871820 PECOS PAC ID: 1759527633 Enrollment ID: I20130419000161 |
| Provider Name | Shawn Kelly Summers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922443258 PECOS PAC ID: 7810136892 Enrollment ID: I20130624000487 |
| Provider Name | Hilary A Conway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780909507 PECOS PAC ID: 7911130125 Enrollment ID: I20140816000177 |
| Provider Name | Kristin Yeoman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043345234 PECOS PAC ID: 0143382267 Enrollment ID: I20140904001970 |
| Provider Name | Corinna Michels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144635368 PECOS PAC ID: 4082833124 Enrollment ID: I20140922002378 |
| Provider Name | Jennie Sue Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316981665 PECOS PAC ID: 3971820531 Enrollment ID: I20150320000062 |
| Provider Name | Sarah J Beckmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780930800 PECOS PAC ID: 1052639085 Enrollment ID: I20150423000208 |
| Provider Name | Amber D Shapton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588805329 PECOS PAC ID: 8820134943 Enrollment ID: I20150515001389 |
| Provider Name | Phillip Hawley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447637384 PECOS PAC ID: 1254642424 Enrollment ID: I20150616000312 |
| Provider Name | Eric M Flake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477521318 PECOS PAC ID: 0749594091 Enrollment ID: I20150731014602 |
| Provider Name | Paul A Wardrop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467714022 PECOS PAC ID: 9335364462 Enrollment ID: I20150817002423 |
| Provider Name | Ridhima Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730476292 PECOS PAC ID: 2365750957 Enrollment ID: I20151001000072 |
| Provider Name | Sebastian Varas-garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366757692 PECOS PAC ID: 6901048479 Enrollment ID: I20160212000757 |
| Provider Name | Steven Gottlieb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407940737 PECOS PAC ID: 1759685522 Enrollment ID: I20160215002767 |
| Provider Name | Heather Stickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518235001 PECOS PAC ID: 1456597038 Enrollment ID: I20160321000724 |
| Provider Name | Petar Jamborcic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114990538 PECOS PAC ID: 4183697030 Enrollment ID: I20160428000849 |
| Provider Name | Vesna Jamborcic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407827850 PECOS PAC ID: 9032182985 Enrollment ID: I20160509002115 |
| Provider Name | Harvey Leavitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952499980 PECOS PAC ID: 8426341017 Enrollment ID: I20160719002340 |
| Provider Name | Richard Dong Youl Chung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003195371 PECOS PAC ID: 1254579378 Enrollment ID: I20160906001301 |
| Provider Name | Eva Chavez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861836728 PECOS PAC ID: 2567784564 Enrollment ID: I20160919000574 |
| Provider Name | Jennifer Marie Maxwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528403300 PECOS PAC ID: 5294059002 Enrollment ID: I20160922001434 |
| Provider Name | Isaac Brauner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902244205 PECOS PAC ID: 7810209343 Enrollment ID: I20161021001416 |
| Provider Name | Sarah Wight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811314552 PECOS PAC ID: 4981983913 Enrollment ID: I20161116000579 |
| Provider Name | Courtney Valentine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811446107 PECOS PAC ID: 7113208695 Enrollment ID: I20161220002225 |
| Provider Name | Petr Cigner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538509757 PECOS PAC ID: 7315216066 Enrollment ID: I20170712000672 |
| Provider Name | Kristy Riniker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588082150 PECOS PAC ID: 3072730217 Enrollment ID: I20171016003090 |
| Provider Name | Elizabeth Jacobson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326380536 PECOS PAC ID: 5890017792 Enrollment ID: I20171023001599 |
| Provider Name | Matthew S Painter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790724987 PECOS PAC ID: 6709898646 Enrollment ID: I20180302001327 |
| Provider Name | Tad White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982085858 PECOS PAC ID: 8820353758 Enrollment ID: I20180828003939 |
| Provider Name | James Lowney Maxson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437382140 PECOS PAC ID: 4284984253 Enrollment ID: I20180912002904 |
| Provider Name | Matthew Soden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013258631 PECOS PAC ID: 0941595607 Enrollment ID: I20181008001825 |
| Provider Name | Eileen Joy D Domingo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962801142 PECOS PAC ID: 6204131378 Enrollment ID: I20181207002187 |
| Provider Name | Sarah Elizabeth Hendrickson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538589643 PECOS PAC ID: 4880912005 Enrollment ID: I20190111002331 |
| Provider Name | George Lupas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043607138 PECOS PAC ID: 4587929302 Enrollment ID: I20190115001399 |
| Provider Name | Tasha Willoughby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619454030 PECOS PAC ID: 0042558298 Enrollment ID: I20190213000937 |
| Provider Name | Mckenze Sigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407366743 PECOS PAC ID: 0143568147 Enrollment ID: I20190218001732 |
| Provider Name | Brenna Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528533759 PECOS PAC ID: 6507105996 Enrollment ID: I20190301000874 |
| Provider Name | Brent Fivecoat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578927414 PECOS PAC ID: 4486935913 Enrollment ID: I20190307000212 |
| Provider Name | Jordann Loehr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790096089 PECOS PAC ID: 8527287705 Enrollment ID: I20190328001240 |
| Provider Name | Gustavo Rodriguez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558837021 PECOS PAC ID: 3971844911 Enrollment ID: I20190401001608 |
| Provider Name | Yarlene E Lopez Delgado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467899195 PECOS PAC ID: 2668615667 Enrollment ID: I20190712002795 |
| Provider Name | Jayme D Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033565726 PECOS PAC ID: 4183989635 Enrollment ID: I20190904001896 |
| Provider Name | Maria Brnjic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619536034 PECOS PAC ID: 7113257973 Enrollment ID: I20190923001000 |
| Provider Name | Beverly Frank |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124057617 PECOS PAC ID: 9234361106 Enrollment ID: I20191007001047 |
| Provider Name | Farah Jn Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841845039 PECOS PAC ID: 8921339300 Enrollment ID: I20191016001806 |
| Provider Name | Joji W Kohjima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407204209 PECOS PAC ID: 2961795786 Enrollment ID: I20191105002672 |
| Provider Name | Olivia R Redline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760838544 PECOS PAC ID: 1658666052 Enrollment ID: I20191112002014 |
| Provider Name | Idalia Montanez-miranda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942589296 PECOS PAC ID: 7911201074 Enrollment ID: I20191127002555 |
| Provider Name | Sara Mirani Pournia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326499575 PECOS PAC ID: 2567716350 Enrollment ID: I20191212001611 |
| Provider Name | Georgina De La Garza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518316611 PECOS PAC ID: 7719245158 Enrollment ID: I20191223000071 |
| Provider Name | Lindsay E Saltsgiver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073155545 PECOS PAC ID: 9830523869 Enrollment ID: I20191230001485 |
| Provider Name | Hailey Blizniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114410420 PECOS PAC ID: 5799110854 Enrollment ID: I20200117000759 |
| Provider Name | Ivy Barnard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578630372 PECOS PAC ID: 8426139163 Enrollment ID: I20200205002879 |
| Provider Name | Danielle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871067090 PECOS PAC ID: 0941532204 Enrollment ID: I20200207001061 |
| Provider Name | Pamela Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073673521 PECOS PAC ID: 6305824111 Enrollment ID: I20200213002980 |
| Provider Name | Anne Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912973181 PECOS PAC ID: 2961408075 Enrollment ID: I20200228002106 |
| Provider Name | Alondra Solorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063826048 PECOS PAC ID: 0840628848 Enrollment ID: I20200324003409 |
| Provider Name | Ruby Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083962641 PECOS PAC ID: 9830529916 Enrollment ID: I20200414002677 |
| Provider Name | Tina Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952790537 PECOS PAC ID: 3375973357 Enrollment ID: I20200414003225 |
| Provider Name | Maria Chacon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215060181 PECOS PAC ID: 4880024892 Enrollment ID: I20200415000616 |
| Provider Name | Norma Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861829467 PECOS PAC ID: 9739519349 Enrollment ID: I20200422003310 |
| Provider Name | Nargis Mozafari |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194134825 PECOS PAC ID: 8224469713 Enrollment ID: I20200518001278 |
| Provider Name | Zachary Assink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538781851 PECOS PAC ID: 4981025152 Enrollment ID: I20200527000896 |
| Provider Name | Roxanne L. Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548781321 PECOS PAC ID: 2567731425 Enrollment ID: I20200728003665 |
| Provider Name | Eugene H Lee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831586981 PECOS PAC ID: 4688920044 Enrollment ID: I20200804003587 |
| Provider Name | Keith Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700317310 PECOS PAC ID: 0446515373 Enrollment ID: I20200805002271 |
| Provider Name | Anthony Liccini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225569551 PECOS PAC ID: 0749558823 Enrollment ID: I20200902002466 |
| Provider Name | Ama A Thrasher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699124107 PECOS PAC ID: 2365734977 Enrollment ID: I20200909000978 |
| Provider Name | Eliza Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780295980 PECOS PAC ID: 7911326137 Enrollment ID: I20201007001077 |
| Provider Name | Alex J Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326571373 PECOS PAC ID: 7810234143 Enrollment ID: I20201016001512 |
| Provider Name | Julie Lerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477900793 PECOS PAC ID: 2860788122 Enrollment ID: I20210301001280 |
| Provider Name | Laurel Gorham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356360499 PECOS PAC ID: 1850698853 Enrollment ID: I20210330001946 |
| Provider Name | Stephanie K Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649229931 PECOS PAC ID: 9335184720 Enrollment ID: I20210401001340 |
| Provider Name | Tatyana Shereshevsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609043835 PECOS PAC ID: 0941376651 Enrollment ID: I20210614003247 |
| Provider Name | Jana Spasovski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386092310 PECOS PAC ID: 6608102918 Enrollment ID: I20210625002373 |
| Provider Name | John Hinrichs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043550700 PECOS PAC ID: 5294136339 Enrollment ID: I20210628001876 |
| Provider Name | Maria Iribarren Valero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134596695 PECOS PAC ID: 9638429020 Enrollment ID: I20210713001637 |
| Provider Name | Ahmed Nahas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659734440 PECOS PAC ID: 7214267897 Enrollment ID: I20210714000006 |
| Provider Name | Donna Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912466392 PECOS PAC ID: 5799188280 Enrollment ID: I20210721001721 |
| Provider Name | Gloria Olsson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316516073 PECOS PAC ID: 8628471943 Enrollment ID: I20210724000040 |
| Provider Name | Allison Laura Bauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801392279 PECOS PAC ID: 9032468707 Enrollment ID: I20210901000791 |
| Provider Name | Melissa Swensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205406634 PECOS PAC ID: 4688070303 Enrollment ID: I20210903002321 |
| Provider Name | Shanette Bruce Owen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629430228 PECOS PAC ID: 4183975816 Enrollment ID: I20210927001465 |
| Provider Name | Mary Volgman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912396771 PECOS PAC ID: 7416258488 Enrollment ID: I20211004002793 |
| Provider Name | Deepika D Kaushal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154854982 PECOS PAC ID: 8628348646 Enrollment ID: I20211029002287 |
| Provider Name | Celia Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093119000 PECOS PAC ID: 5092038976 Enrollment ID: I20211123002264 |
| Provider Name | Kara Elizabeth Kozemzak Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639843543 PECOS PAC ID: 6305236738 Enrollment ID: I20211129001966 |
| Provider Name | Brian Bennett Ullom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508952797 PECOS PAC ID: 6608267042 Enrollment ID: I20211220001821 |
| Provider Name | Allen Jovan Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427725696 PECOS PAC ID: 4789075607 Enrollment ID: I20220103000093 |
| Provider Name | Kristin M Deweerd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700544681 PECOS PAC ID: 7810382678 Enrollment ID: I20220315001724 |
| Provider Name | Sandra M Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700097508 PECOS PAC ID: 3577844299 Enrollment ID: I20220323002830 |
| Provider Name | Arthuro Recto Abbido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396412888 PECOS PAC ID: 0042606022 Enrollment ID: I20220330001926 |
| Provider Name | Megan Laura Toliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649923624 PECOS PAC ID: 0840686549 Enrollment ID: I20220406000233 |
| Provider Name | Nathan V Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922588094 PECOS PAC ID: 2163819269 Enrollment ID: I20220419002836 |
| Provider Name | Dean David Clyde Walters |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144789132 PECOS PAC ID: 0941535389 Enrollment ID: I20220610001151 |
| Provider Name | Abel Saba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053083329 PECOS PAC ID: 4486033883 Enrollment ID: I20220615000820 |
| Provider Name | Kathleen A Laws |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912133851 PECOS PAC ID: 8426430638 Enrollment ID: I20220804002557 |
| Provider Name | Darby Bridget Foor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235862962 PECOS PAC ID: 4486036589 Enrollment ID: I20220805002806 |
| Provider Name | Carlos David Diaz Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467948976 PECOS PAC ID: 1557743655 Enrollment ID: I20220805002895 |
| Provider Name | Clara Monheit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487217477 PECOS PAC ID: 9436485901 Enrollment ID: I20220812001642 |
| Provider Name | Emma Wutschel Jarrett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497215909 PECOS PAC ID: 9537542089 Enrollment ID: I20220816000611 |
| Provider Name | Dzung Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295398287 PECOS PAC ID: 6608102033 Enrollment ID: I20220818003368 |
| Provider Name | Mary Cavanaugh Davies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851898845 PECOS PAC ID: 8921418138 Enrollment ID: I20220901000897 |
| Provider Name | Burton Sumner Masem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720541295 PECOS PAC ID: 7810321486 Enrollment ID: I20220901001927 |
| Provider Name | Aaron Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558822858 PECOS PAC ID: 4789911272 Enrollment ID: I20220928001694 |
| Provider Name | Beverly Khodra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205499308 PECOS PAC ID: 7810224540 Enrollment ID: I20221003000176 |
| Provider Name | Kurtyss Kasten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467174128 PECOS PAC ID: 1759758675 Enrollment ID: I20221107002059 |
| Provider Name | Christopher Michael Rood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326763996 PECOS PAC ID: 4880061605 Enrollment ID: I20221108003053 |
| Provider Name | Emma May Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568184398 PECOS PAC ID: 8921475518 Enrollment ID: I20221111000348 |
| Provider Name | Sandra Benavides-vaello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265100481 PECOS PAC ID: 8325416670 Enrollment ID: I20221117002975 |
| Provider Name | Austin George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679238471 PECOS PAC ID: 2365810611 Enrollment ID: I20221117003352 |
| Provider Name | Victoria Claire Symonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154073898 PECOS PAC ID: 1153790662 Enrollment ID: I20221205003065 |
| Provider Name | Cheryl Ann Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629787361 PECOS PAC ID: 1254702384 Enrollment ID: I20230126003426 |
| Provider Name | Allie Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760741094 PECOS PAC ID: 1850683004 Enrollment ID: I20230217001357 |
| Provider Name | Corinth Tardif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801500715 PECOS PAC ID: 9931571924 Enrollment ID: I20230221002979 |
| Provider Name | Adrienne Szabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396457115 PECOS PAC ID: 7719350156 Enrollment ID: I20230306000236 |
| Provider Name | Joanna Twombly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780857284 PECOS PAC ID: 2567538770 Enrollment ID: I20230316002279 |
| Provider Name | Kristen Trottier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437694932 PECOS PAC ID: 8325442791 Enrollment ID: I20230519001472 |
| Provider Name | Daniel Nicoara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093278426 PECOS PAC ID: 6901131150 Enrollment ID: I20230706000386 |
| Provider Name | Karen Marie Trujillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730726423 PECOS PAC ID: 3173983749 Enrollment ID: I20230713002766 |
| Provider Name | Forrest Guilfoile |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427554179 PECOS PAC ID: 0446507537 Enrollment ID: I20230713003996 |
| Provider Name | Phoebe Dang Lim-vuong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780369694 PECOS PAC ID: 5496116402 Enrollment ID: I20230807001421 |
| Provider Name | Anna Poel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700489721 PECOS PAC ID: 2466815485 Enrollment ID: I20230823004331 |
| Provider Name | Mandeep Kaur Brar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548886583 PECOS PAC ID: 7416310065 Enrollment ID: I20230829003869 |
| Provider Name | Regina Dolores Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255085452 PECOS PAC ID: 3870957939 Enrollment ID: I20230908000617 |
| Provider Name | Karli Page |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942999537 PECOS PAC ID: 3274997333 Enrollment ID: I20230908000857 |
| Provider Name | Victoria Zhanna Wallin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265117709 PECOS PAC ID: 4385008374 Enrollment ID: I20230908002696 |
| Provider Name | Kristi Lynn Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184408189 PECOS PAC ID: 2365806239 Enrollment ID: I20230911002271 |
| Provider Name | Stacy Hackenmueller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942545298 PECOS PAC ID: 9234593914 Enrollment ID: I20230913003573 |
| Provider Name | Christopher William Eby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376168864 PECOS PAC ID: 5092179465 Enrollment ID: I20230919000830 |
| Provider Name | Isabela Tali Ahumada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235914508 PECOS PAC ID: 9537513759 Enrollment ID: I20230921002805 |
| Provider Name | Cecia Dianely Acevedo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518510858 PECOS PAC ID: 1850745563 Enrollment ID: I20230929000427 |
| Provider Name | Sadie Paloma Sherman Pile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396921284 PECOS PAC ID: 9436503018 Enrollment ID: I20231001000033 |
| Provider Name | Pamela J Daws |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417169558 PECOS PAC ID: 0143674655 Enrollment ID: I20231002001354 |
| Provider Name | Annika Spampinato-korn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457830325 PECOS PAC ID: 5799139119 Enrollment ID: I20231003002784 |
| Provider Name | Mayra Vasquez Nunez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447688700 PECOS PAC ID: 1052766417 Enrollment ID: I20231005000522 |
| Provider Name | Noah Jeffrey Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861012270 PECOS PAC ID: 3476908674 Enrollment ID: I20231008000191 |
| Provider Name | Sara Ann Warr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831592450 PECOS PAC ID: 8921322918 Enrollment ID: I20231011001764 |
| Provider Name | Guy Einig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861175671 PECOS PAC ID: 4284089285 Enrollment ID: I20231011002189 |
| Provider Name | Nicole Chestnut |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568173706 PECOS PAC ID: 9638524549 Enrollment ID: I20231012003254 |
| Provider Name | Cassandra Bianca Pacheco |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326737818 PECOS PAC ID: 2769837541 Enrollment ID: I20231013002379 |
| Provider Name | Marisa Barke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700597424 PECOS PAC ID: 5395190847 Enrollment ID: I20231018002344 |
| Provider Name | Morgan Dunning |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538588587 PECOS PAC ID: 1658727169 Enrollment ID: I20231019001481 |
| Provider Name | Yesem T Demeke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992224760 PECOS PAC ID: 2264888353 Enrollment ID: I20231025003711 |
| Provider Name | Geena Hernandez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437701265 PECOS PAC ID: 2062868052 Enrollment ID: I20231027000253 |
| Provider Name | Serena Martinez-parry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538942958 PECOS PAC ID: 8628424330 Enrollment ID: I20231031002660 |
| Provider Name | Roberto Rubio Velazquez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497460109 PECOS PAC ID: 2769839356 Enrollment ID: I20231102003394 |
| Provider Name | Cynthia Marie Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821777814 PECOS PAC ID: 2668829813 Enrollment ID: I20231108003811 |
| Provider Name | Laura Macmaster Dean |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699385674 PECOS PAC ID: 1658728720 Enrollment ID: I20231110000919 |
| Provider Name | Whitney Kay Shirley Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417488800 PECOS PAC ID: 3971928599 Enrollment ID: I20231113002785 |
| Provider Name | Rocio Petersen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982094645 PECOS PAC ID: 7517313752 Enrollment ID: I20231114003846 |
| Provider Name | Michaela Hazelann Alcala |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235837360 PECOS PAC ID: 5193172955 Enrollment ID: I20231115003655 |
| Provider Name | Cuong Dan Vien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235767807 PECOS PAC ID: 8426431453 Enrollment ID: I20231120003144 |
| Provider Name | Michele Lee Gurtler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710943493 PECOS PAC ID: 1456700301 Enrollment ID: I20231218001814 |
| Provider Name | Stefanie J Wisse |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073811998 PECOS PAC ID: 8820273717 Enrollment ID: I20231218002968 |
| Provider Name | Haley Krupa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366214660 PECOS PAC ID: 0244689123 Enrollment ID: I20231218003086 |
| Provider Name | Theresa Whitchurch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952965626 PECOS PAC ID: 7315274099 Enrollment ID: I20231220000520 |
| Provider Name | James Lowney Maxson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437382140 PECOS PAC ID: 4284984253 Enrollment ID: I20231229002806 |
| Provider Name | Melissa M Chung |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851056386 PECOS PAC ID: 7416307509 Enrollment ID: I20240102003054 |
| Provider Name | Tycy Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992965222 PECOS PAC ID: 2062862162 Enrollment ID: I20240102003479 |
| Provider Name | Corrinne Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447672225 PECOS PAC ID: 1456701408 Enrollment ID: I20240103001556 |
| Provider Name | Fredy Farias-sanchez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386032795 PECOS PAC ID: 7517317589 Enrollment ID: I20240103002508 |
| Provider Name | Erik Jimenez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043730641 PECOS PAC ID: 2860843851 Enrollment ID: I20240103003417 |
| Provider Name | Alfredo Alvarez-frias |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023705571 PECOS PAC ID: 1355795238 Enrollment ID: I20240107000013 |
| Provider Name | Lulu Rivera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457453425 PECOS PAC ID: 1951752344 Enrollment ID: I20240110002271 |
| Provider Name | Sarah Guel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124669940 PECOS PAC ID: 8325499593 Enrollment ID: I20240111004662 |
| Provider Name | Natalie Gail Lockhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689910077 PECOS PAC ID: 5193176386 Enrollment ID: I20240112000293 |
| Provider Name | Isaac Overmiller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053702415 PECOS PAC ID: 2668823774 Enrollment ID: I20240112001233 |
| Provider Name | Edward Alan Schauss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942266770 PECOS PAC ID: 4688025737 Enrollment ID: I20240112002620 |
| Provider Name | Megan Alcott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063952596 PECOS PAC ID: 6709238819 Enrollment ID: I20240113000378 |
| Provider Name | James Randall Ellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942709191 PECOS PAC ID: 1456703271 Enrollment ID: I20240117003336 |
| Provider Name | Mallory Michelle Isley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417727231 PECOS PAC ID: 4688017908 Enrollment ID: I20240202003733 |
| Provider Name | Nuno Aguiar Fernandes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013284652 PECOS PAC ID: 8325481195 Enrollment ID: I20240208002023 |
| Provider Name | Cinthia Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760141196 PECOS PAC ID: 0749647683 Enrollment ID: I20240301002166 |
| Provider Name | Christine Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942302708 PECOS PAC ID: 1951543602 Enrollment ID: I20240304003412 |
| Provider Name | Sina Haeri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730357039 PECOS PAC ID: 2668544487 Enrollment ID: I20240510002876 |
Caring Solutions Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 S 12th Ave Ste 18, Yakima, WA 98902 Phone: 509-961-9702 Fax: 509-248-3680 | |
Good Talk Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 E Yakima Ave Ste 447-c, Yakima, WA 98901 Phone: 509-225-0330 | |
Bethel Ridge Family Resources Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 N 16th Ave, Suite 102, Yakima, WA 98902 Phone: 509-574-5000 Fax: 509-249-0035 | |
Yakima Valley Memorial Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 Fax: 509-574-5800 | |
Yakima Valley Farm Worker Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 E Mead Ave, Yakima, WA 98903 Phone: 509-453-1344 Fax: 503-453-2209 | |
Gray & Gray Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Buckskin Creek Rd, Yakima, WA 98908 Phone: 509-575-0757 | |
Yakima Valley Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 Titleist Ln, Yakima, WA 98901 Phone: 509-307-2572 |