Organization Active NPI

Stephanie Washington Kuffel PHD PS

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1245575851
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2929 Issued in WA
Legal business name
STEPHANIE WASHINGTON KUFFEL PHD PS
Practice address
628 S Maple St
Suite 101
Spokane, WA 99204-3445
Phone
(509) 456-7888
NPI assigned
Dec 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Stephanie W Kuffel, PH.D.NPI 1699801902
Title
Owner/Psychologist
Phone
(509) 456-7888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY2929 WA Primary

Addresses

Primary practice location

628 S Maple St
Suite 101
Spokane, WA 99204-3445

Mailing address

4030 S Lamonte St
Spokane, WA 99203-2819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130228000553 WA Part B Supplier - Clinic/Group Practice 2163677998 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

628 S Maple St
Ste 101
Spokane, WA 99204
Phone (509) 456-7888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1245575851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 S LAMONTE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 S MAPLE ST",
            "address_2": "SUITE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043445",
            "telephone_number": "509-456-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE WASHINGTON KUFFEL PHD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "KUFFEL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "509-456-7888",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY2929",
            "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 Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.