Jeffrey A Wirthlin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301076448 Issued in MI

Practice address

2310 N Molter Rd Ste 105
Liberty Lake, WA 99019-8621

Phone

(509) 891-7867

Fax

(509) 922-0984

NPI assigned

Aug 9, 2006

Last updated

Feb 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Integrated Health and Behavior, PLLC

  dba Ihb

  • Child & Adolescent Psychiatry Physician
  • Liberty Lake, WA
  • NPI 1902129638
  NPD (past)
• Kootenai Health, Inc.

  • Psychiatry Physician
  • Coeur d'Alene, ID
  • NPI 1174661151
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1487664603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 NORTH DRURY CT",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "99019",
            "telephone_number": "509-926-2668",
            "fax_number": "509-926-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N MOLTER RD STE 105",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990198621",
            "telephone_number": "509-891-7867",
            "fax_number": "509-922-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTHLIN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301076448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly S White, D.C.
• Mark A Whitley, P.T.
• Jennifer Rebecca Wilde
• Wildecare Education
• Clint Wire, DDS, MS
• Wishblow Speech Therapy
• Womm Counseling LLC
• Sara Lisbeth Yarbrough, LMFT
• Ryan Michael Yates, D.C.
• Taylor Nicole Yaws

• Psychiatry Physician in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.