Active NPI
Ridgway & Forsyth Psychology, P.S.
- Clinical Psychologist
- Spokane, WA
National Provider Identifier
1073851382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY2480
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY2480 | WA | Primary |
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8919067 | Other | WA | MEDICARE PTAN |
| G8918942 | Other | WA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Spokane, WA
- NPI 1699801902
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.