Active NPI
Spokane Psychiatry and Psychology, P.S.
- Psychiatry Physician
- Spokane, WA
National Provider Identifier
1124164751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0015023
- Legal business name
- SPOKANE PSYCHIATRY AND PSYCHOLOGY, P.S.
- Practice address
- 105 West 8TH Ave
Ste 408
Spokane, WA 99204-2318 - Phone
- (509) 455-8660
- Fax
- (509) 455-8662
- NPI assigned
- Jan 30, 2007
- 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
- James Clifford Green, M.D.
- Title
- President
- Phone
- (509) 455-8660
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 445 | WA | |
| Psychologist | 103T00000X | 445 | WA | |
| Psychiatry Physician | 2084P0800X | 0015023 | WA | Primary |
Addresses
Primary practice location
105 West 8TH Ave
Ste 408
Spokane, WA 99204-2318
Mailing address
105 West 8TH Ave
Ste 408
Spokane, WA 99204-2318
Phone (509) 455-8660
National Provider Directory
National Provider DirectoryLocations
105 W 8th Ave
Ste 408
Spokane, WA 99204
Phone (509) 455-8660
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Spokane, WA
- NPI 1649310061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1124164751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WEST 8TH AVE",
"address_2": "STE 408",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042318",
"telephone_number": "509-455-8660",
"fax_number": "509-455-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WEST 8TH AVE",
"address_2": "STE 408",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042318",
"telephone_number": "509-455-8660",
"fax_number": "509-455-8662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPOKANE PSYCHIATRY AND PSYCHOLOGY, P.S.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "CLIFFORD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-455-8660",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "WA",
"license": "445",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "WA",
"license": "445",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "0015023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
- Spokane Outpatient Anesthesia PLLC
- Spokane Pediatrics PLLC
- Spokane Physician Services, a Professional LLC
- Spokane Plastic Surgeons PS
- Spokane Psychiatric Clinic PS
- Spokane Psychology and Neuropsychology, PS
- Spokane Public Schools District 81
- Spokane Radiology Consultants, PS
- Spokane Regional Health District
- Spokane Rehab & Pain Clinic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.