Individual provider Active NPI

Virginia M. Kleman, PSY.D.

  • Clinical Neuropsychologist
  • Spokane, WA
National Provider Identifier
1205068087
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY60562243 Issued in WA
Practice address
1403 S Grand Blvd Ste 203N
Spokane, WA 99203-2200
Phone
(509) 779-8065
Fax
(844) 779-0338
NPI assigned
Aug 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY60562243 WA Primary

Addresses

Primary practice location

1403 S Grand Blvd Ste 203N
Spokane, WA 99203-2200

Mailing address

1403 S Grand Blvd Ste 203N
Spokane, WA 99203-2200
Phone (509) 779-8065

Other practice location 1

4815 N Assembly St
Spokane, WA 99205-6185
Phone (509) 434-7013

Other names 1

  • Virginia Mae Murphy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307003248 WA Practitioner - Clinical Psychologist 9931320447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1403 S Grand Blvd
Suite 203N
Spokane, WA 99203-2200
Phone (509) 779-8065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
855NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lilac City Neuropsychology PLLC Clinical Neuropsychologist CurrentSince Jan 13, 2024 Accepting new patients

Locations

1403 S Grand Blvd
Ste 203N
Spokane, WA 99203
Phone (509) 414-5050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1205068087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 203N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032200",
            "telephone_number": "509-779-8065",
            "fax_number": "844-779-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 203N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032200",
            "telephone_number": "509-779-8065",
            "fax_number": "844-779-0338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 N Assembly St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992056185",
            "country_code": "US",
            "telephone_number": "509-434-7013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEMAN",
        "first_name": "VIRGINIA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY60562243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "MURPHY",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.