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SKY VALLEY PSYCHEDELIC MEDICAL
NPI 1689386807
Clinic/Center - Health Service in Monroe, WA

Active since December 19, 2022
101 E MAIN ST STE 209, MONROE, WA 98272(360) 949-7555 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sky Valley Psychedelic Medical NPPES

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

SKY VALLEY PSYCHEDELIC MEDICAL (NPI 1689386807) is a healthcare organization registered as a health service in Monroe, Washington and active in the NPI registry since December 2022. The organization lists John Palmer Lovejoy, Physician, as its authorized official.

NPPES Registry Identity

NPI1689386807
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSKY VALLEY PSYCHEDELIC MEDICAL
Location Address101 E MAIN ST STE 209Monroe, WA 98272-1519
Mailing Address40016 145th Pl SeGold Bar, WA 98251-9471 · (707) 239-6190 · Fax (707) 239-6190
Phone(360) 949-7555
Organization SubpartNo
Authorized OfficialJohn Palmer LovejoyPhysician · (360) 949-7555
Enumeration DateDecember 19, 2022
Last NPPES UpdateDecember 23, 2022
NPPES CertifiedDecember 23, 2022
✔ NPI 1689386807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedClinic/CenterTaxonomy 261Q00000X
101 E MAIN ST STE 209, Monroe, WA 98272
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Other Names 1

Doing Business AsSky Valley Psychedelic Medical

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENE TOBIN
Counselor (Mental Health)
101 E MAIN ST STE 209
MONROE, WA 98272
Snohomish County (360) 243-4217
LOGAN DONOVON SMITH BS
Student in an Organized Health Care Education/Training Program
101 E MAIN ST STE 209
MONROE, WA 98272
Snohomish County (360) 485-0820
JOAN LUMSDEN LMHC
Counselor (Mental Health)
101 E MAIN ST STE 209
MONROE, WA 98272
Snohomish County (360) 485-0820

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 Sky Valley Psychedelic Medical's NPI number?

The NPI number for Sky Valley Psychedelic Medical is 1689386807. It was assigned to this organization in the NPPES registry on December 19, 2022.

Where is Sky Valley Psychedelic Medical located?

Sky Valley Psychedelic Medical is located at 101 E Main St Ste 209, Monroe, WA 98272. The listed phone number is (360) 949-7555.

What is Sky Valley Psychedelic Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Sky Valley Psychedelic Medical was last updated on December 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.