Organization Active NPI

Tami Haley Licsw

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
National Provider Identifier
1356863591
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LW60116916 Issued in WA
Legal business name
TAMI HALEY LICSW
Practice address
707 W 7TH Ave Ste 294
Spokane, WA 99204-2833
Phone
(509) 710-6292
Fax
(509) 747-1802
NPI assigned
Jul 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Authorized official

Name
Tami HaleyNPI 1134466337
Title
Clinical Social Worker
Phone
(509) 710-6292

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LW60116916 WA Primary

Addresses

Primary practice location

707 W 7TH Ave Ste 294
Spokane, WA 99204-2833

Mailing address

PO Box 8441
Spokane, WA 99203-0441

Other identifiers 1

IdentifierTypeStateIssuer
2088662MedicaidWA

National Provider Directory

National Provider Directory

Locations

707 W 7th Ave
Ste 294
Spokane, WA 99204
Phone (509) 533-5470

Practitioners & affiliated clinicians

Practitioners 4

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": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1356863591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8441",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992030441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE STE 294",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042833",
            "telephone_number": "509-710-6292",
            "fax_number": "509-747-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMI HALEY LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "509-710-6292"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "LW60116916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2088662",
            "state": "WA"
        }
    ],
    "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 Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.