Chrysalis Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CHRYSALIS PSYCHIATRY

Practice address

1001 Water St # 1009
Port Townsend, WA 98368-6705

Phone

(206) 279-4547

NPI assigned

Oct 25, 2024

Last updated

Oct 25, 2024By 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

Anne Elizabeth Koomen, ARNPNPI 1629351317

Title

Owner

Phone

(415) 847-4643

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.

• Anne Elizabeth Koomen, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Townsend, WA
  • NPI 1629351317
  NPD Authorized official

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1104648732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1093",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983681093",
            "telephone_number": "206-279-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WATER ST # 1009",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686705",
            "telephone_number": "206-279-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "KOOMEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-847-4643",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Cherniack, MSW
• Kevin Peter Chong, M.D.
• Sara Christensen, PA-C
• Knox Norman Christie, DDS
• Christopher Martinez (Apex Balance and Rehabilitation)
• David Toros Chuljian, DDS
• Rachel Claflin
• Claire Smith Roney, PH.D., Inc., PC
• Lisa Michelle Clark
• Ragan Lynn Claybourn, LPN

• Psychiatric/Mental Health Nurse Practitioner in Port Townsend, WA
• Providers in Port Townsend, 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 Oct 25, 2024; 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.