Individual provider Active NPI

George Wangai, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1316604473
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61555499 Issued in WA
Practice address
1401 N Calispel St
Spokane, WA 99201-2317
Phone
(509) 838-4651
NPI assigned
Nov 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61095751 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61555499 WA Primary

Addresses

Primary practice location

1401 N Calispel St
Spokane, WA 99201-2317

Mailing address

10510 E 20TH Ave
Spokane Valley, WA 99206-3305
Phone (770) 292-0854

Other practice location 1

104 W 5th Ave
Spokane, WA 99204-4820
Phone (509) 992-1888

Other practice location 2

14024 E Cataldo Ave
Spokane Valley, WA 99216-3306
Phone (509) 381-5323

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829003395 WA Practitioner - Nurse Practitioner 5698214922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spokane Behavioral Health LLCGroup PAC ID 2961757489, 24 clinicians
Cedarcrest Behavioral Medicine LLCGroup PAC ID 1456871466, 2 clinicians

Practice addresses (Care Compare)

104 W 5TH Ave
Spokane, WA 99204-4820
Phone (623) 670-0840

12623 E Sprague Ave
Suite 6
Spokane Valley, WA 99216-0764
Phone (509) 505-4035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedarcrest Behavioral Medicine LLC Psychiatric/Mental Health CurrentSince Jan 15, 2025 Accepting new patients
A Peaceful Place Adult Family Home LLC Current Accepting new patients
Frontier Behavioral Health Psychiatric/Mental Health CurrentSince Sep 23, 2024 Accepting new patients
A Nurse Inspired Family Home, LLC CurrentSince Jan 2, 2022 Accepting new patients
Vytaliz Medical CurrentSince Jul 10, 2026 Accepting new patients
Spokane Behavioral Health LLC CurrentSince Jun 3, 2024 Accepting new patients

Locations

104 W 5th Ave
Spokane, WA 99204
Phone (509) 992-1888

1401 N Calispel St
Spokane, WA 99201
Phone (406) 740-2150

107 S Division St
Spokane, WA 99202
Phone (509) 383-4651

12623 E Sprague Ave
Ste 6
Spokane Valley, WA 99216
Phone (509) 505-4035

Organizations & group practices 6

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1316604473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 E 20TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063305",
            "telephone_number": "770-292-0854",
            "fax_number": "509-732-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N CALISPEL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012317",
            "telephone_number": "509-838-4651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992044820",
            "country_code": "US",
            "telephone_number": "509-992-1888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14024 E Cataldo Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992163306",
            "country_code": "US",
            "telephone_number": "509-381-5323",
            "fax_number": "509-443-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANGAI",
        "first_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61095751",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61555499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.