CHRYSALIS PSYCHIATRY
NPI 1104648732
Nurse Practitioner - Psychiatric/Mental Health in Port Townsend, WA

Active since October 25, 2024
1001 WATER ST # 1009, PORT TOWNSEND, WA 98368(206) 279-4547 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chrysalis Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSALIS PSYCHIATRY (NPI 1104648732) is a healthcare organization registered as a psychiatric/mental health in Port Townsend, Washington and active in the NPI registry since October 2024. The organization lists Anne Elizabeth Koomen, Owner, as its authorized official.

NPPES Registry Identity

NPI1104648732
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCHRYSALIS PSYCHIATRY
Location Address1001 WATER ST # 1009Port Townsend, WA 98368-6705
Mailing AddressPo Box 1093Port Townsend, WA 98368-1093 · (206) 279-4547
Organization SubpartNo
Authorized OfficialAnne Elizabeth KoomenOwner · (415) 847-4643
Enumeration DateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
NPI 1104648732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1001 WATER ST # 1009, Port Townsend, WA 98368

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrysalis Psychiatry's NPI number?

The NPI number for Chrysalis Psychiatry is 1104648732. It was assigned to this organization in the NPPES registry on October 25, 2024.

Where is Chrysalis Psychiatry located?

Chrysalis Psychiatry is located at 1001 Water St # 1009, Port Townsend, WA 98368. The listed phone number is (206) 279-4547.

What is Chrysalis Psychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Chrysalis Psychiatry was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.