Active NPI
Gary L Percival, PH.D.
- Psychologist
- Fairchild AFB, WA
National Provider Identifier
1659331262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 317398-2501
- Practice address
- 800 W Survival Loop
Building 1255
Fairchild AFB, WA 99011-8680 - Phone
- (509) 247-9714
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 317398-2501 | UT | Primary |
Addresses
Primary practice location
800 W Survival Loop
Building 1255
Fairchild AFB, WA 99011-8680
Mailing address
11123 E 8TH Ave
Spokane Valley, WA 99206-5518
Phone (509) 891-7713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317398-2501 | UT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659331262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11123 E 8TH AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992065518",
"telephone_number": "509-891-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W SURVIVAL LOOP",
"address_2": "BUILDING 1255",
"city": "FAIRCHILD AFB",
"state": "WA",
"postal_code": "990118680",
"telephone_number": "509-247-9714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERCIVAL",
"first_name": "GARY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "317398-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairchild AFB, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.