| Kitsap Mental Health Services | |
|
5455 Almira Dr Ne Bremerton WA 98311 | |
| (360) 373-5031 | |
| Not Available |
| Full Name | Kitsap Mental Health Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5455 Almira Dr Ne, Bremerton, Washington |
| Authorized Official Name and Position | Joe G. Roszak (CEO) |
| Authorized Official Contact | 3603735031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitsap Mental Health Services 5455 Almira Dr Ne Bremerton WA 98311 Ph: (360) 373-5031 | Kitsap Mental Health Services 5455 Almira Dr Ne Bremerton WA 98311 Ph: (360) 373-5031 |
| NPI Number | 1033268008 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 03/09/2023 |
| Certification Date | 03/09/2023 |
| Medicare PECOS PAC ID | 2961391875 |
|---|---|
| Medicare Enrollment ID | O20040310001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033268008 | NPI | - | NPPES |
| Provider Name | Marvin J Hoffert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548373525 PECOS PAC ID: 3779644075 Enrollment ID: I20081204000892 |
| Provider Name | Jolene M Culbertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073610325 PECOS PAC ID: 2961551437 Enrollment ID: I20090513000261 |
| Provider Name | James Bryan Hughes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477561538 PECOS PAC ID: 8022066034 Enrollment ID: I20091109000577 |
| Provider Name | Gary F Lenza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871614891 PECOS PAC ID: 8022203447 Enrollment ID: I20101111000462 |
| Provider Name | John Gonsoulin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073761524 PECOS PAC ID: 9830367697 Enrollment ID: I20110721000441 |
| Provider Name | Mark Thomas Ellestad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891087136 PECOS PAC ID: 6204155682 Enrollment ID: I20150506001972 |
| Provider Name | Jason Noah Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912362427 PECOS PAC ID: 6002106929 Enrollment ID: I20160606002193 |
| Provider Name | James Vanmeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518116128 PECOS PAC ID: 4587696828 Enrollment ID: I20170227000367 |
| Provider Name | Reza Hosseini Ghomi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659791770 PECOS PAC ID: 9436473279 Enrollment ID: I20170606003181 |
| Provider Name | Elizabeth Whiteside |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285003913 PECOS PAC ID: 9638458748 Enrollment ID: I20170621001326 |
| Provider Name | Jaime Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710286489 PECOS PAC ID: 7517271612 Enrollment ID: I20171110002466 |
| Provider Name | Sherry Van Meter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134440829 PECOS PAC ID: 5193906980 Enrollment ID: I20181031000494 |
| Provider Name | Robert G Sise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053725937 PECOS PAC ID: 6800187113 Enrollment ID: I20190517001585 |
| Provider Name | Kimberly E Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265986400 PECOS PAC ID: 7012243850 Enrollment ID: I20190731002102 |
| Provider Name | Jeneane Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275994725 PECOS PAC ID: 0143516336 Enrollment ID: I20200721002481 |
| Provider Name | June A Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104852730 PECOS PAC ID: 1951314921 Enrollment ID: I20200722000464 |
| Provider Name | Gilbert E Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780739797 PECOS PAC ID: 8820400245 Enrollment ID: I20201209000399 |
| Provider Name | Carol Specter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417325069 PECOS PAC ID: 0648682260 Enrollment ID: I20201223000792 |
| Provider Name | Sarah Schoof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609869718 PECOS PAC ID: 2567435068 Enrollment ID: I20210408002570 |
| Provider Name | Keandra Lanae Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942969092 PECOS PAC ID: 4486047644 Enrollment ID: I20220210001827 |
| Provider Name | Kirsten Nestler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598056806 PECOS PAC ID: 7416264734 Enrollment ID: I20220411001475 |
| Provider Name | Paula Lynne Wiesehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144348954 PECOS PAC ID: 3476658337 Enrollment ID: I20220411001646 |
| Provider Name | Meghann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750853297 PECOS PAC ID: 9436529294 Enrollment ID: I20230112001256 |
| Provider Name | Bahattin Ergin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386312023 PECOS PAC ID: 9335546258 Enrollment ID: I20230623001470 |
| Provider Name | Elizabeth Ashley Holmes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437657681 PECOS PAC ID: 2264884543 Enrollment ID: I20240123001612 |
| Provider Name | Oghenekaro Agarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326697319 PECOS PAC ID: 6204275746 Enrollment ID: I20240417002352 |
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