| Peninsula Behavioral Health | |
|
118 E 8th St Port Angeles WA 98362-6129 | |
| (360) 457-0431 | |
| (360) 457-0493 |
| Full Name | Peninsula Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 118 E 8th St, Port Angeles, Washington |
| Authorized Official Name and Position | Wendy A Sisk (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3604570431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Behavioral Health 118 E 8th St Port Angeles WA 98362-6129 Ph: (360) 457-0431 | Peninsula Behavioral Health 118 E 8th St Port Angeles WA 98362-6129 Ph: (360) 457-0431 |
| NPI Number | 1760519060 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Medicare PECOS PAC ID | 7416845870 |
|---|---|
| Medicare Enrollment ID | O20040503001304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760519060 | NPI | - | NPPES |
| 9647298 | Medicaid | WA | |
| 1980606 | Medicaid | WA | |
| 7130883 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Washington) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Joseph W Reis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376583674 PECOS PAC ID: 1254230741 Enrollment ID: I20040105000099 |
| Provider Name | Sarah Frances Winternitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912075169 PECOS PAC ID: 2163470105 Enrollment ID: I20050106000761 |
| Provider Name | Christine S Burnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598795874 PECOS PAC ID: 5092746651 Enrollment ID: I20050824000460 |
| Provider Name | Julie A Calabria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811025414 PECOS PAC ID: 3375561285 Enrollment ID: I20051109000803 |
| Provider Name | Margaret M Depew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083742845 PECOS PAC ID: 0042238859 Enrollment ID: I20051109000866 |
| Provider Name | Terri Paquin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588724645 PECOS PAC ID: 4789611807 Enrollment ID: I20110801000234 |
| Provider Name | Anne E Koomen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629351317 PECOS PAC ID: 9234384439 Enrollment ID: I20130219000062 |
| Provider Name | Kelly M Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073810669 PECOS PAC ID: 3577736131 Enrollment ID: I20140812002207 |
| Provider Name | Timi E Iddings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518112135 PECOS PAC ID: 7618032400 Enrollment ID: I20140825002397 |
| Provider Name | Becky L Godby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528045085 PECOS PAC ID: 0042342651 Enrollment ID: I20150520000213 |
| Provider Name | Kathleen M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306095955 PECOS PAC ID: 1951460351 Enrollment ID: I20160914001784 |
| Provider Name | Sarah Mb Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912260936 PECOS PAC ID: 0446538391 Enrollment ID: I20161026003054 |
| Provider Name | Danielle A Deoliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700934288 PECOS PAC ID: 0547546632 Enrollment ID: I20170403002199 |
| Provider Name | Linda M Boardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154859585 PECOS PAC ID: 4284905142 Enrollment ID: I20170810002504 |
| Provider Name | Kimberle J Ykema |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548762644 PECOS PAC ID: 8628330123 Enrollment ID: I20180321001679 |
| Provider Name | Kristoffer W Lindstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023032364 PECOS PAC ID: 5496006801 Enrollment ID: I20190913002074 |
| Provider Name | Kerrie Buis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578849865 PECOS PAC ID: 4183967060 Enrollment ID: I20191007000625 |
| Provider Name | Patricia A Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285029835 PECOS PAC ID: 1658742101 Enrollment ID: I20230120002061 |
| Provider Name | Lauren T Mosley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811558471 PECOS PAC ID: 3375916323 Enrollment ID: I20230222002430 |
| Provider Name | Andrea L Blake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871954941 PECOS PAC ID: 0941653455 Enrollment ID: I20240131004847 |
| Provider Name | Janno L Scheer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154571891 PECOS PAC ID: 2961845284 Enrollment ID: I20240202003653 |
| Provider Name | Christina A Chadick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407313059 PECOS PAC ID: 5294178521 Enrollment ID: I20240202003864 |
| Provider Name | Dena R Crosby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982759643 PECOS PAC ID: 8224272968 Enrollment ID: I20240203000170 |
| Provider Name | Yaoying Aichele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336604768 PECOS PAC ID: 7618310954 Enrollment ID: I20240203000373 |
| Provider Name | Angelique M Berglund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215374301 PECOS PAC ID: 7315380524 Enrollment ID: I20240205002657 |
| Provider Name | Deborah J Christiansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073857595 PECOS PAC ID: 5799120630 Enrollment ID: I20240229004181 |
New Concepts Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W 13th St, Port Angeles, WA 98363 Phone: 360-808-9620 Fax: 360-800-6068 | |
Newhouse Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 E Front St, Port Angeles, WA 98362 Phone: 360-504-4430 | |
Olympic Psychiatric Assoc.,p.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Georgiana St, Suite A, Port Angeles, WA 98362 Phone: 360-452-8991 Fax: 360-452-8993 | |
Adventure Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 N Lincoln St Ste 210, Port Angeles, WA 98362 Phone: 360-582-6032 | |
New Growth Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 430 E Lauridsen Blvd, Port Angeles, WA 98362 Phone: 360-457-1610 | |
Psyched For Life Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 713 S Alder Ln, Port Angeles, WA 98362 Phone: 136-058-2790 | |
Highland Courte Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Melody Circle, Port Angeles, WA 98362 Phone: 360-417-5356 Fax: 360-417-2773 |