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NPI Code Detail

MEDICARE: THE PSY CENTER FOR COUNSELING & EVALUATIONS, P.S.

MEDICARE: THE PSY CENTER FOR COUNSELING & EVALUATIONS, P.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3261QM0850XAdult Mental Health Clinic/Center
4103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1467337246
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PSY CENTER FOR COUNSELING & EVALUATIONS, P.S.
Provider Business Mailing Address
First Line : 4311 ACACIA LN SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-1006
Country : US
Telephone Number : 206-840-8082
Fax Number :
Provider Business Practice Location Address
First Line : 5470 SHILSHOLE AVE NW STE 400
Second Line :
City : SEATTLE
State : WA
Zip : 98107-4040
Country : US
Telephone Number : 206-840-8082
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. ELIZETH J CHAVEZ
Credential : PHD, MA
Telephone Number : 206-840-8082
Provider Enumeration Date : 08/09/2025
Last Update Date : 03/24/2026

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Directions to “THE PSY CENTER FOR COUNSELING & EVALUATIONS, P.S. ” Practice Location

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