Organization Active NPI

Melrose Psychological Services

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1104359942
Registry record updated Apr 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
60633613 Issued in WA
Legal business name
MELROSE PSYCHOLOGICAL SERVICES
Practice address
707 W 7TH Ave
Spokane, WA 99204-2832
Phone
(509) 218-8162
NPI assigned
Apr 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2017

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

Authorized official

Name
Dr. Patrick Bertotti Metoyer, PH.D.
Title
Psychologist
Phone
(509) 218-8162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 60633613 WA Primary

Addresses

Primary practice location

707 W 7TH Ave
Spokane, WA 99204-2832

Mailing address

707 W 7TH Ave
Spokane, WA 99204-2832
Phone (509) 218-8162

National Provider Directory

National Provider Directory

Locations

707 W 7th Ave
Spokane, WA 99204
Phone (509) 218-8162

NPI Registry JSON

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491609600000",
    "number": "1104359942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042832",
            "telephone_number": "509-218-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042832",
            "telephone_number": "509-218-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-08",
        "last_updated": "2017-04-08",
        "status": "A",
        "authorized_official_last_name": "METOYER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "BERTOTTI",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "509-218-8162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60633613",
            "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 Apr 8, 2017; 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.