Individual provider Active NPI

Sunshine Elisabeth Clark, PHD

  • Psychologist
  • Spokane, WA
National Provider Identifier
1245341072
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY3397 Issued in WA
Practice address
1602 E Sprague Ave # 40444
Spokane, WA 99202-3115
Phone
(360) 747-7888
Fax
(855) 317-6308
NPI assigned
Aug 31, 2006
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY3397 WA Primary

Addresses

Primary practice location

1602 E Sprague Ave # 40444
Spokane, WA 99202-3115

Mailing address

PO Box 40444
Spokane, WA 99220-0907
Phone (360) 747-7788

Other practice location 1

4808 E Frederick Ave
Spokane, WA 99217-7328
Phone (360) 747-7788

Other identifiers 2

IdentifierTypeStateIssuer
8940692OtherWAL AND I CRIME VICTIMS
0205667OtherWALABOR AND INDUSTRIES

Other names 1

  • Dr. Sunshine Elisabeth Clark-Schoeder 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
I20101112001280 WA Practitioner - Clinical Psychologist 3375738560 Practice locations: Spokane, WA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY3397WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Psychological Services PastSince Jun 1, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1245341072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40444",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992200907",
            "telephone_number": "360-747-7788",
            "fax_number": "855-317-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E SPRAGUE AVE # 40444",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023115",
            "telephone_number": "360-747-7888",
            "fax_number": "855-317-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4808 E Frederick Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992177328",
            "country_code": "US",
            "telephone_number": "360-747-7788",
            "fax_number": "855-317-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SUNSHINE",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY3397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I CRIME VICTIMS",
            "identifier": "8940692",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0205667",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNSHINE",
            "last_name": "CLARK-SCHOEDER",
            "middle_name": "ELISABETH",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.