Valley Psychological Services | |
2109 W Dolarway Rd Ellensburg WA 98926-9367 | |
(509) 968-5086 | |
(844) 755-6412 |
Full Name | Valley Psychological Services |
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Speciality | Psychologist |
Location | 2109 W Dolarway Rd, Ellensburg, Washington |
Authorized Official Name and Position | Lisa Martin (OWNER / PSYCHOLOGIST) |
Authorized Official Contact | 5092011616 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Psychological Services 2109 W Dolarway Rd Ellensburg WA 98926-9367 Ph: (509) 968-5086 | Valley Psychological Services 2109 W Dolarway Rd Ellensburg WA 98926-9367 Ph: (509) 968-5086 |
NPI Number | 1356842785 |
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Provider Enumeration Date | 02/21/2018 |
Last Update Date | 06/21/2024 |
Certification Date | 06/21/2024 |
Medicare PECOS PAC ID | 3274897665 |
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Medicare Enrollment ID | O20180511001104 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356842785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | PY60253453 (Washington) | Primary |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
Provider Name | Lisa Marie Godfrey Martin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1427319052 PECOS PAC ID: 8628234556 Enrollment ID: I20120723000260 |
Provider Name | Jamie L Walker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710058839 PECOS PAC ID: 0446498075 Enrollment ID: I20130521000368 |
Provider Name | Carol A Gilliom |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881764769 PECOS PAC ID: 5092944330 Enrollment ID: I20140206001365 |
Provider Name | Rebecca L Palmer-overmiller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245629823 PECOS PAC ID: 0941563985 Enrollment ID: I20180404001867 |
Provider Name | Carolyn Sims Cleveland |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1912380692 PECOS PAC ID: 2264796655 Enrollment ID: I20180511001303 |
Provider Name | Bradley D Bastian |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790173318 PECOS PAC ID: 4688917008 Enrollment ID: I20190528000660 |
Provider Name | Laurel Gorham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356360499 PECOS PAC ID: 1850698853 Enrollment ID: I20210330001946 |
Provider Name | Holly Michelle Lamsma |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942618053 PECOS PAC ID: 2264840685 Enrollment ID: I20210422002140 |
Provider Name | Alexis Moore |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1285353540 PECOS PAC ID: 9830566876 Enrollment ID: I20221104001242 |
Provider Name | Olivia Grace Holter |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831861079 PECOS PAC ID: 1759751993 Enrollment ID: I20230103002895 |
Provider Name | Jeanette Rendina |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770999435 PECOS PAC ID: 4880065564 Enrollment ID: I20230116000768 |
Provider Name | Mary L Day |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871676726 PECOS PAC ID: 6305388406 Enrollment ID: I20240604003783 |
Provider Name | April Sue Walker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508995382 PECOS PAC ID: 4082146436 Enrollment ID: I20241010001971 |
Provider Name | Alexa Leigh Voss |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942940739 PECOS PAC ID: 4981136363 Enrollment ID: I20241010002995 |
Provider Name | Meagan Nichole Miller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780152132 PECOS PAC ID: 4183156607 Enrollment ID: I20241022001220 |
Valley Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4311 Umptanum Rd, Ellensburg, WA 98926 Phone: 509-899-9116 | |
Hendrika Mather M.s., Inc., P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 N Pearl St, Suite 209, Ellensburg, WA 98926 Phone: 509-925-7522 | |
Cs Squared Mental Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 W 5th Ave, Ellensburg, WA 98926 Phone: 509-986-1492 |