Provider Demographics
NPI:1437330131
Name:HEALTHCARE SYSTEM SERVICES INC
Entity Type:Organization
Organization Name:HEALTHCARE SYSTEM SERVICES INC
Other - Org Name:OLYMPIC PSYCHIATRIC & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRILYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:NICKLIN -GRISWOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-501-2144
Mailing Address - Street 1:PO BOX 11810
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-5810
Mailing Address - Country:US
Mailing Address - Phone:206-501-2144
Mailing Address - Fax:206-842-7400
Practice Address - Street 1:2528 WHEATON WAY STE 106
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-3305
Practice Address - Country:US
Practice Address - Phone:360-782-1933
Practice Address - Fax:360-782-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010816101YM0800X
2084P0800X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7189939OtherAETNA