Psychiatric and Counseling Services of Olympia, PS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP30003632 Issued in WA

Legal business name

PSYCHIATRIC AND COUNSELING SERVICES OF OLYMPIA, PS

Practice address

2114 Caton Way SW # 201
Olympia, WA 98502-1105

Phone

(360) 709-3332

Fax

(360) 709-3336

NPI assigned

May 14, 2007

Last updated

May 12, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Samuel Starr Keith, ARNP

Title

Ceo

Phone

(360) 709-3332

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Sue Kellams, NURSE PRACTITIONER

  • Nurse Practitioner
  • Olympia, WA
  • NPI 1205980828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1013123629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 CATON WAY SW # 201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021105",
            "telephone_number": "360-709-3332",
            "fax_number": "360-709-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 CATON WAY SW # 201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021105",
            "telephone_number": "360-709-3332",
            "fax_number": "360-709-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC AND COUNSELING SERVICES OF OLYMPIA, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "STARR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-709-3332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30003632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Health & Services Washington
• Providence Health & Services Washington (Providence Mother Joseph Care Center)
• Providence St. Peter Hospital (Providence St. Peter Hospital PAC LAB)
• Kathleen C Pruitt, MSW, LMHC
• Gregory L Psaltis, DDS
• Psychiatric Services of Olympia PLLC
• Public Hospital District No 1 of Mason County (Olympia Ankle and Foot)
• Puget Sound Care LLC (Puget Sound Care)
• Puget Sound Gastroenterology, PLLC
• Puget Sound Healthcare - Olympia LLC (Puget Sound Healthcare Center)

• Psychiatric/Mental Health Nurse Practitioner in Olympia, WA
• Providers in Olympia, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.