Organization Active NPI

Ridgway & Forsyth Psychology, P.S.

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1073851382
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2480 Issued in WA
Legal business name
RIDGWAY & FORSYTH PSYCHOLOGY, P.S.
Practice address
628 S Maple St
Ste 102
Spokane, WA 99204-3445
Phone
(509) 353-9885
Fax
(509) 353-9886
NPI assigned
Jan 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Pamela S. Ridgway, PH.D.
Title
Psychologist
Phone
(509) 353-9885

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY2480 WA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY1912 WA

Addresses

Primary practice location

628 S Maple St
Ste 102
Spokane, WA 99204-3445

Mailing address

628 S Maple St
Suite 102
Spokane, WA 99204-3445
Phone (509) 353-9885

Other identifiers 2

IdentifierTypeStateIssuer
G8919067OtherWAMEDICARE PTAN
G8918942OtherWAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

628 S Maple St
Ste 102
Spokane, WA 99204
Phone (509) 353-9885

1500 W 4th Ave
Ste 405
Spokane, WA 99201
Phone (509) 353-9885

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1073851382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 S MAPLE ST",
            "address_2": "SUITE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043445",
            "telephone_number": "509-353-9885",
            "fax_number": "509-353-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 S MAPLE ST",
            "address_2": "STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043445",
            "telephone_number": "509-353-9885",
            "fax_number": "509-353-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGWAY & FORSYTH PSYCHOLOGY, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "RIDGWAY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "509-353-9885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY2480",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY1912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8919067",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8918942",
            "state": "WA"
        }
    ],
    "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 Dec 13, 2016; 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.