| Kitsap Peninsula Ocd & Anxiety Services | |
|
509 4th St Ste 28 Bremerton WA 98337-1401 | |
| (360) 234-6423 | |
| (360) 234-4624 |
| Full Name | Kitsap Peninsula Ocd & Anxiety Services |
|---|---|
| Speciality | Psychologist |
| Location | 509 4th St Ste 28, Bremerton, Washington |
| Authorized Official Name and Position | Charles F Brady (OWNER/ CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3602344623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitsap Peninsula Ocd & Anxiety Services 2617 Marine Dr Bremerton WA 98312-2043 Ph: (513) 253-9402 | Kitsap Peninsula Ocd & Anxiety Services 509 4th St Ste 28 Bremerton WA 98337-1401 Ph: (360) 234-6423 |
| NPI Number | 1447887427 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 05/30/2022 |
| Certification Date | 05/30/2022 |
| Medicare PECOS PAC ID | 5799116125 |
|---|---|
| Medicare Enrollment ID | O20200519000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447887427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Charles Francis Brady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477667517 PECOS PAC ID: 5799772406 Enrollment ID: I20200519000405 |
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