FRONT STREET CLINIC INC
NPI 1457532913
Psychologist in Poulsbo, WA

Active since November 26, 2007
20174 FRONT ST NE, POULSBO, WA 98370(360) 697-1141(360) 697-2395 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Front Street Clinic Inc NPPES

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

FRONT STREET CLINIC INC (NPI 1457532913) is a healthcare organization registered as a psychologist in Poulsbo, Washington and active in the NPI registry since November 2007. The organization maintains a secondary practice location in Tucson and lists Olga A Popach, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1457532913
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameFRONT STREET CLINIC INC
Location Address20174 FRONT ST NEPoulsbo, WA 98370-7445
Mailing AddressPo Box 1611Poulsbo, WA 98370-0197 · (360) 697-1141 · Fax (360) 697-2395
Fax(360) 697-2395
Organization SubpartNo
Authorized OfficialOlga A PopachOffice Manager · (360) 697-1141
Enumeration DateNovember 26, 2007
Last NPPES UpdateJune 25, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1457532913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WA · PY00000965
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
20174 FRONT ST NE, Poulsbo, WA 98370

Secondary Practice Location 1

Location 12830 N Swan Rd Ste 140Tucson, AZ 85712-6301 · Phone (360) 697-1141

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Front Street Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Front Street Clinic Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Psychologist3
Mental Health Counselor3
Nurse Practitioner3
Clinical Social Worker1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1306934047
20174 FRONT STREET NE
Poulsbo, WA 98370
(360) 697-1141
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1255426292
20174 FRONT STREET
Poulsbo, WA 98370
(360) 697-1141
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1346777406
20186 FRONT ST NE
Poulsbo, WA 98370
(360) 930-3355
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952750671
20174 FRONT ST NE
Poulsbo, WA 98370
(360) 697-1141
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1831385624
20174 FRONT ST NE
Poulsbo, WA 98370
(360) 697-1141
✔ PECOSSame address
Mental Health Counselor
NPI 1043799554
2819 NW KITSAP PL STE 2B
Silverdale, WA 98383
(360) 697-1141
✔ PECOS✔ Accepts Medicare6.4 mi
Mental Health Counselor
NPI 1194069294
5455 ALMIRA DR NE
Bremerton, WA 98311
(360) 373-5031
✔ PECOS✔ Accepts Medicare9.2 mi
Clinical Social Worker
NPI 1841546801
10416 125TH AVE NE
Kirkland, WA 98033
(206) 999-6037
✔ PECOS✔ Accepts Medicare22 mi
Mental Health Counselor
NPI 1528348182
262 NE KISSIN TREE LN
Tahuya, WA 98588
(360) 633-6932
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1760340558
19435 68TH AVE S STE S102
Kent, WA 98032
(253) 414-1983
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Front Street Clinic Inc's NPI number?

The NPI number for Front Street Clinic Inc is 1457532913. It was assigned to this organization in the NPPES registry on November 26, 2007.

Where is Front Street Clinic Inc located?

Front Street Clinic Inc is located at 20174 Front St NE, Poulsbo, WA 98370. The listed phone number is (360) 697-1141.

What is Front Street Clinic Inc's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Front Street Clinic Inc enrolled in Medicare?

Yes. Front Street Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Front Street Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Front Street Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (3), Mental Health Counselor (3) and Nurse Practitioner (3). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Front Street Clinic Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Front Street Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Front Street Clinic Inc was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.