Individual provider Active NPI

Elizabeth A Pechous, PHD

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1265575088
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00002566 Issued in WA
Practice address
701 W 7TH Ave
Suite 130
Spokane, WA 99204-2843
Phone
(509) 869-3809
Fax
(509) 838-1163
NPI assigned
Feb 14, 2007
Last updated
Jul 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY00002566 WA Primary

Addresses

Primary practice location

701 W 7TH Ave
Suite 130
Spokane, WA 99204-2843

Mailing address

701 W 7TH Ave
Suite 130
Spokane, WA 99204-2843
Phone (509) 869-3809

Other names 1

  • Dr. Liz Pechous Professional 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
I20120104000507 WA Practitioner - Clinical Psychologist 7517133069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icard, P.L.L.C.Group PAC ID 9436325982, 3 clinicians

Practice addresses (Care Compare)

701 W 7TH Ave
Spokane, WA 99204-2835
Phone (509) 838-3932

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY00002566WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Icard, P.L.L.C. Clinical CurrentSince Oct 6, 2011 Accepting new patients
Berwyn Township Public Health District PastSince May 10, 2009 Accepting new patients

Locations

701 W 7th Ave
Ste 130
Spokane, WA 99204
Phone (509) 838-3932

Organizations & group practices 2

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1265575088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 7TH AVE",
            "address_2": "SUITE 130",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042843",
            "telephone_number": "509-869-3809",
            "fax_number": "509-838-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 7TH AVE",
            "address_2": "SUITE 130",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042843",
            "telephone_number": "509-869-3809",
            "fax_number": "509-838-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHOUS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "PECHOUS",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.