Organization Active NPI

Olympic Psychiatric Assoc.,P.S.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Angeles, WA
National Provider Identifier
1104947142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OLYMPIC PSYCHIATRIC ASSOC.,P.S.
Practice address
819 Georgiana St
Suite a
Port Angeles, WA 98362-3511
Phone
(360) 452-8991
Fax
(360) 452-8993
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Norman Frederic Peterson, M.D.
Title
President
Phone
(360) 452-8991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

819 Georgiana St
Suite a
Port Angeles, WA 98362-3511

Mailing address

819 Georgiana St
Suite a
Port Angeles, WA 98362-3511
Phone (360) 452-8991

National Provider Directory

National Provider Directory

Locations

819 Georgiana St
Ste A
Port Angeles, WA 98362
Phone (360) 452-8991

819 Georgiana St
#A
Port Angeles, WA 98362
Phone (360) 452-8991

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104947142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 GEORGIANA ST",
            "address_2": "SUITE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623511",
            "telephone_number": "360-452-8991",
            "fax_number": "360-452-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 GEORGIANA ST",
            "address_2": "SUITE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623511",
            "telephone_number": "360-452-8991",
            "fax_number": "360-452-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PSYCHIATRIC ASSOC.,P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "FREDERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-452-8991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.