Kido Psychological Services Ps in Vancouver, WA - Medicare Community/Behavioral Health

Kido Psychological Services Ps is a medicare enrolled mental health clinic (Community/behavioral Health) in Vancouver, Washington. The current practice location for Kido Psychological Services Ps is 9013 Ne Highway 99 Ste R, Vancouver, Washington. For appointments, you can reach them via phone at (360) 773-9121. The mailing address for Kido Psychological Services Ps is 9013 Ne Highway 99 Ste R, Vancouver, Washington and phone number is (360) 773-9121.

Kido Psychological Services Ps is licensed to practice in Washington (license number PY60015408). The clinic also participates in the medicare program and its NPI number is 1205152949. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (360) 773-9121.

Contact Information

	Kido Psychological Services Ps
	9013 Ne Highway 99 Ste R Vancouver WA 98665-8943
	(360) 773-9121
	(360) 314-4051

Map and Direction

Mental Health Clinic Profile

Full Name	Kido Psychological Services Ps
Speciality	Community/Behavioral Health
Location	9013 Ne Highway 99 Ste R, Vancouver, Washington
Authorized Official Name and Position	Donna J Johns (PRESIDENT)
Authorized Official Contact	3606089311
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kido Psychological Services Ps 9013 Ne Highway 99 Ste R Vancouver WA 98665-8943 Ph: (360) 773-9121	Kido Psychological Services Ps 9013 Ne Highway 99 Ste R Vancouver WA 98665-8943 Ph: (360) 773-9121

NPI Details:

NPI Number	1205152949
Provider Enumeration Date	04/19/2010
Last Update Date	11/04/2024
Certification Date	11/04/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8426186958
Medicare Enrollment ID	O20100504000687

Medical Identifiers

Medical identifiers for Kido Psychological Services Ps such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205152949	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
251S00000X	Community/behavioral Health	PY60015408 (Washington)	Primary
251S00000X	Community/behavioral Health	1936 (Oregon)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kido Psychological Services Ps acts as a billing entity for following providers:

Provider Name	Donna J Johns
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1710142377 PECOS PAC ID: 6103985361 Enrollment ID: I20081104000195

Reviews and Comments

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Kido Psychological Services Ps - Medicare Mental Health Clinic in Vancouver, WA