Organization Active NPI

Blue Mountain Neuropsychological Associates

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1083005979
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60040765 Issued in WA
Legal business name
BLUE MOUNTAIN NEUROPSYCHOLOGICAL ASSOCIATES
Practice address
1624 W Dean Ave
Spokane, WA 99201-1825
Phone
(509) 939-0719
Fax
(509) 464-6463
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Jameson Lontz, PHD
Title
Owner
Phone
(509) 939-0719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY60040765 WA Primary

Addresses

Primary practice location

1624 W Dean Ave
Spokane, WA 99201-1825

Mailing address

1624 W Dean Ave
Spokane, WA 99201-1825
Phone (509) 939-0719

National Provider Directory

National Provider Directory

Locations

1624 W Dean Ave
Spokane, WA 99201
Phone (509) 939-0719

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": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1083005979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W DEAN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011825",
            "telephone_number": "509-939-0719",
            "fax_number": "509-464-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W DEAN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011825",
            "telephone_number": "509-939-0719",
            "fax_number": "509-464-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN NEUROPSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "LONTZ",
        "authorized_official_first_name": "JAMESON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-939-0719",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60040765",
            "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 Jan 26, 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.