Organization Active NPI

Behavioral Medicine Center

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1013982354
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2094 Issued in WA
Legal business name
BEHAVIORAL MEDICINE CENTER
Practice address
421 W Riverside Ave
Ste 972
Spokane, WA 99201-0405
Phone
(509) 747-2215
Fax
(509) 747-2217
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kimberly Chupurdia, PHD
Title
Psychologist
Phone
(509) 747-2215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2094 WA Primary

Addresses

Primary practice location

421 W Riverside Ave
Ste 972
Spokane, WA 99201-0405

Mailing address

421 W Riverside Ave
Ste 972
Spokane, WA 99201-0405
Phone (509) 747-2215

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013982354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE",
            "address_2": "STE 972",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010405",
            "telephone_number": "509-747-2215",
            "fax_number": "509-747-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE",
            "address_2": "STE 972",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010405",
            "telephone_number": "509-747-2215",
            "fax_number": "509-747-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUPURDIA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "509-747-2215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "2094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.