Depth Psychology Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PY60608652 Issued in WA

Legal business name

DEPTH PSYCHOLOGY SERVICES, LLC

Practice address

108 N Washington St Ste 408
Spokane, WA 99201

Phone

(509) 220-4398

Fax

(509) 241-3864

NPI assigned

Nov 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ward Robak, PHDNPI 1568904670

Title

Owner & Clinical Psychologist

Phone

(509) 220-4398

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ward Robak, PhD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ward Robak, PHD

  • Psychologist
  • Spokane, WA
  • NPI 1568904670
  NPD Authorized official

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1033651237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N WASHINGTON ST STE 408",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992015001",
            "telephone_number": "509-220-4398",
            "fax_number": "509-241-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N WASHINGTON ST STE 408",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99201",
            "telephone_number": "509-220-4398",
            "fax_number": "509-241-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPTH PSYCHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-06",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBAK",
        "authorized_official_first_name": "WARD",
        "authorized_official_title_or_position": "OWNER & CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "509-220-4398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "PY60608652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2075526",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ward Robak, PhD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ward Robak, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel J Depner, PA-C
• Sarah Elizabeth Depner
• Kimberly Deppisch, DO
• Richard James Deppisch II, DO
• Dawn Marie Depriest, FNP-C
• Melissa Derbecker
• Kenneth Mark Derby, PH.D.
• Lynn Dee Derby, M.D.
• Mary M Derby
• Paul Derenzo, LMHCA

• Adult Mental Health Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.