NPIMap

Organization Active NPI

Healthcare System Services Inc

  • Mental Health Counselor
  • Bremerton, WA
National Provider Identifier
1437330131
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00010816 Issued in WA
Legal business name
HEALTHCARE SYSTEM SERVICES INC
Practice address
2528 Wheaton Way Ste 106
Bremerton, WA 98310-3305
Phone
(360) 782-1933
Fax
(360) 782-0131
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Terrilynn Nicklin -Griswold
Title
Owner
Phone
(206) 501-2144

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH00010816 WA Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

2528 Wheaton Way Ste 106
Bremerton, WA 98310-3305

Mailing address

PO Box 11810
Bainbridge Island, WA 98110-5810
Phone (206) 501-2144

Other identifiers 1

IdentifierTypeStateIssuer
7189939OtherWAAETNA

Other names 1

  • Olympic Psychiatric & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

2528 Wheaton Way
Ste 206
Bremerton, WA 98310
Phone (360) 373-8272

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1437330131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11810",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105810",
            "telephone_number": "206-501-2144",
            "fax_number": "206-842-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 WHEATON WAY STE 106",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103305",
            "telephone_number": "360-782-1933",
            "fax_number": "360-782-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE SYSTEM SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "NICKLIN -GRISWOLD",
        "authorized_official_first_name": "TERRILYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-501-2144"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010816",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7189939",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Psychiatric & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.