Individual provider Active NPI

Richard Spitzer, PHD

  • Psychologist
  • Bellingham, WA
National Provider Identifier
1235231937
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
937 Issued in WA
Practice address
1106 Harris Ave
Suite 209
Bellingham, WA 98225
Phone
(360) 319-7938
Fax
(360) 756-2706
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 937 WA Primary

Addresses

Primary practice location

1106 Harris Ave
Suite 209
Bellingham, WA 98225

Mailing address

1106 Harris Ave
Suite 209
Bellingham, WA 98227
Phone (360) 671-1966

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
I20110113001223 WA Practitioner - Clinical Psychologist 5890778179 Reassigns benefits to 1 organization
Practice locations: Bellingham, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Associates in Mental HealthGroup PAC ID 1355324815, 14 clinicians

Practice addresses (Care Compare)

1106 Harris Ave
Suite 209
Bellingham, WA 98225-7001
Phone (360) 715-2488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
937WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Mental Health Psychologist CurrentSince Jan 1, 2016 Accepting new patients

Locations

1106 Harris Ave
Ste 209
Bellingham, WA 98225
Phone (360) 319-7938

2215 Elm St
Bellingham, WA 98225
Phone (360) 920-2053

1155 N State St
Ste 404
Bellingham, WA 98225

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1235231937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 HARRIS AVE",
            "address_2": "SUITE 209",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98227",
            "telephone_number": "360-671-1966",
            "fax_number": "360-756-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 HARRIS AVE",
            "address_2": "SUITE 209",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-319-7938",
            "fax_number": "360-756-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZER",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.