OrganizationActive
Olympia Mental Health and Psychiatry PLLC
NPI 1164198628 · Mental Health Clinic/Center (Including Community Mental Health Center) · Lacey, WA
Provider details
- NPI number
- 1164198628
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shanti Herzog, Owner(360) 447-8477
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4405 7th Ave Se, Ste 200 - Bmp 1133
Lacey, WA 98503-9850
Phone: (360) 447-8477
Fax: (360) 783-4475
Street-level locationGet directions
Mailing address
4405 7th Ave Se, Ste 200 - Bmp 1133
Lacey, WA 98503-1055
Registry dates
- Enumerated
- 2021-08-17
- Last updated
- 2024-11-30
- Certified
- 2024-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.