Healthcare Provider Details

I. General information

NPI: 1467337246
Provider Name (Legal Business Name): THE PSY CENTER FOR COUNSELING & EVALUATIONS P S
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2025
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5470 SHILSHOLE AVE NW STE 400
SEATTLE WA
98107-4040
US

IV. Provider business mailing address

4311 ACACIA LN SE
PORT ORCHARD WA
98366-1006
US

V. Phone/Fax

Practice location:
  • Phone: 206-840-8082
  • Fax:
Mailing address:
  • Phone: 206-840-8082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZETH J CHAVEZ
Title or Position: OWNER/PRESIDENT
Credential: PHD, MA
Phone: 206-840-8082