Organization
PENINSULA PSYCHOLOGICAL CENTER, INC., P.S.
Active
Organization
PENINSULA PSYCHOLOGICAL CENTER, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT RICHELSON AUTHORIZED OFFICIAL (PRESIDENT)
(904) 605-4983
Entity
Organization
Contact information
Practice address
1191 NW TAHOE, SILVERDALE, WA 98383
(360) 698-4860
(360) 698-3849
Mailing address
1191 NW TAHOE LANEPO BOX 3428, SILVERDALE, WA 98383
(360) 698-4860
(360) 698-3849
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001490
WA
Other
Enumeration date
07/10/2006
Last updated
05/04/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up