Psychiatric Clinic of Spokane PS

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PSYCHIATRIC CLINIC OF SPOKANE PS

Doing business as

David Bot, MD

Practice address

201 W North River Dr
Ste 520
Spokane, WA 99201-2284

Phone

(509) 999-5430

NPI assigned

Sep 21, 2015

Last updated

Sep 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David D Bot, MD

Title

President

Phone

(509) 999-5430

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• David Bot, MD Doing business as

Locations

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1679942619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W NORTH RIVER DR",
            "address_2": "SUITE 520",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W NORTH RIVER DR",
            "address_2": "STE 520",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012284",
            "telephone_number": "509-999-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CLINIC OF SPOKANE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "BOT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-999-5430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G000304612",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1077775",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Bot, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derika Lacole Pruitt
• Kelsey Elizabeth Pruitt, PA-C
• Oksana Prychyna, MD
• Barbara Lynn Pryde, LMP
• Psychcore LLC (PsychCares)
• Psychiatric Services of the Inland Northwest, PLLC
• Psychiatry Group
• Heather Pucheu, SBD
• Steven L Pugh, MD
• Lauren Margaret Puhek, MS RDN CD

• Psychiatry Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.