Psychiatric Services of Olympia PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP30004049 Issued in WA

Legal business name

PSYCHIATRIC SERVICES OF OLYMPIA PLLC

Practice address

2114 Caton Way SW
201
Olympia, WA 98502-1177

Phone

(360) 709-3332

Fax

(360) 709-3336

NPI assigned

Nov 4, 2013

Last updated

Nov 4, 2013By 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

Ms. Lindaa Sue Kellams-Keith, A.R.N.P.

Title

Owner

Phone

(360) 709-3332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1760811475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 18TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012211",
            "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",
            "address_2": "201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021177",
            "telephone_number": "360-709-3332",
            "fax_number": "360-709-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES OF OLYMPIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "KELLAMS-KEITH",
        "authorized_official_first_name": "LINDAA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-709-3332",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "A.R.N.P."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30004049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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 and Counseling Services of Olympia, PS
• 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)
• 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 Nov 4, 2013; 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.