| Front Street Clinic Inc | |
|
20174 Front St Ne Poulsbo WA 98370-7445 | |
| (360) 697-1141 | |
| (360) 697-2395 |
| Full Name | Front Street Clinic Inc |
|---|---|
| Speciality | Psychologist |
| Location | 20174 Front St Ne, Poulsbo, Washington |
| Authorized Official Name and Position | Olga A Popach (OFFICE MANAGER) |
| Authorized Official Contact | 3606971141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Front Street Clinic Inc Po Box 1611 Poulsbo WA 98370-0197 Ph: (360) 697-1141 | Front Street Clinic Inc 20174 Front St Ne Poulsbo WA 98370-7445 Ph: (360) 697-1141 |
| NPI Number | 1457532913 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 04/19/2013 |
| Medicare PECOS PAC ID | 5193612935 |
|---|---|
| Medicare Enrollment ID | O20040304000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457532913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY00000965 (Washington) | Primary |
| Provider Name | Young Oak K Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306934047 PECOS PAC ID: 8325206014 Enrollment ID: I20120227000663 |
| Provider Name | Antone B Pryor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255426292 PECOS PAC ID: 9537056379 Enrollment ID: I20120316000246 |
| Provider Name | Michael G Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023491743 PECOS PAC ID: 6103134366 Enrollment ID: I20151007003195 |
| Provider Name | Anna M Kielak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952750671 PECOS PAC ID: 8123311610 Enrollment ID: I20160720002898 |
| Provider Name | Kurt D Nielsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346777406 PECOS PAC ID: 8022375625 Enrollment ID: I20171207001212 |
| Provider Name | Jeneane Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275994725 PECOS PAC ID: 0143516336 Enrollment ID: I20200721002481 |
| Provider Name | Andrea B Hickman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356528715 PECOS PAC ID: 8325487234 Enrollment ID: I20240411002157 |
Michael S. Burke, M.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20696 Bond Rd Ne Ste C-210, Poulsbo, WA 98370 Phone: 360-779-4807 Fax: 360-779-5613 | |
Rise Therapy And Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2302 Ne Ridgewood Dr, Poulsbo, WA 98370 Phone: 360-217-9116 | |
Empowersyou Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Ne Hostmark St Ste 100d, Poulsbo, WA 98370 Phone: 206-465-2981 | |
Gateway Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18901 8th Ave Ne, Poulsbo, WA 98370 Phone: 360-779-5515 | |
Heather Blackmore Ma Lmfta Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 374 Ne Max William Loop, Poulsbo, WA 98370 Phone: 360-649-1238 | |
Come Alive Youth Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3367 Ne Iverson Rd, Poulsbo, WA 98370 Phone: 360-731-9884 | |
Wandee J. Pryor, Psy.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20174 Front St Ne, Poulsbo, WA 98370 Phone: 360-607-1141 |