Dennis Dyck, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00001596 Issued in WA

Practice address

1415 S Riegel CT
Spokane Valley, WA 99212-3242

Phone

(509) 475-9924

Fax

(877) 992-7014

NPI assigned

Nov 6, 2013

Sex

Male

Sole proprietor

Yes

Specialty

Clinical Psychologist

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2024.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1669801015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 E SPRAGUE AVE # 540",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064397",
            "telephone_number": "509-475-9924",
            "fax_number": "877-992-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S RIEGEL CT",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992123242",
            "telephone_number": "509-475-9924",
            "fax_number": "877-992-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCK",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Durbin
• Brenda K Durnin, PA-C
• Hannah Duvall, OTR/L
• Janell Dyball, OTR/L
• Brittany Larose Dyck
• Michael Albert Dye, R.PH.
• Dynamic Medical Systems, Inc.
• Ea Healing Arts LLC
• Philip Eager, LSW
• Leon Douglas Eagle Tail, MSW, CDP

• All providers in Spokane Valley, WA
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.