Organization Active NPI

Proactive Psychiatric Services LLC

  • Psychiatry Physician
  • Spokane, WA
National Provider Identifier
1053545343
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PROACTIVE PSYCHIATRIC SERVICES LLC
Practice address
400 S Jefferson St Ste 163
Spokane, WA 99204-3143
Phone
(509) 456-5733
Fax
(509) 327-5191
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Denise Daymont
Title
Ceo
Phone
(509) 869-3266

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

400 S Jefferson St Ste 163
Spokane, WA 99204-3143

Mailing address

400 S Jefferson St Ste 163
Spokane, WA 99204-3143
Phone (509) 456-5733

Other names 1

  • Proactive Psychiatric Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1053545343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S JEFFERSON ST STE 163",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043143",
            "telephone_number": "509-456-5733",
            "fax_number": "509-327-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S JEFFERSON ST STE 163",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043143",
            "telephone_number": "509-456-5733",
            "fax_number": "509-327-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DAYMONT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-869-3266"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2023; 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.