Individual provider Active NPI

Deborah S Baldwin, PHD

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1629183538
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1506 Issued in WA
Practice address
140 S Arthur St
Suite 410
Spokane, WA 99202-2220
Phone
(509) 456-2500
Fax
(509) 456-2502
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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 1506 WA Primary

Addresses

Primary practice location

140 S Arthur St
Suite 410
Spokane, WA 99202-2220

Mailing address

140 S Arthur St
Suite 410
Spokane, WA 99202-2220
Phone (509) 456-2500

Other identifiers 1

IdentifierTypeStateIssuer
0200539OtherWADEPT OF LABOR & INDUSTRIE

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
I20060120000819 WA Practitioner - Clinical Psychologist 1658395389 Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 S Arthur
Suite 410
Spokane, WA 99202-2220
Phone (509) 456-2500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1506WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stacey Durland LMHC PLLC PastSince Dec 13, 2020 Accepting new patients
Brown & Associates PLLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1629183538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S ARTHUR ST",
            "address_2": "SUITE 410",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022220",
            "telephone_number": "509-456-2500",
            "fax_number": "509-456-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S ARTHUR ST",
            "address_2": "SUITE 410",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022220",
            "telephone_number": "509-456-2500",
            "fax_number": "509-456-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "0200539",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.