Individual provider Active NPI

Stephanie W Kuffel, PH.D.

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1699801902
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2929 Issued in WA
Practice address
628 S Maple St Ste 101
Spokane, WA 99204-3445
Phone
(509) 456-7888
Fax
(509) 838-7679
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 PY2929 WA Primary

Addresses

Primary practice location

628 S Maple St Ste 101
Spokane, WA 99204-3445

Mailing address

4030 S Lamonte St
Spokane, WA 99203-2819

Other identifiers 1

IdentifierTypeStateIssuer
PY2929OtherWASTATE LICENSE NUMBER

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
I20130327000500 WA Practitioner - Clinical Psychologist 3072768803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

628 S Maple St
Suite 101
Spokane, WA 99204-3445
Phone (509) 456-7888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY2929WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Washington Kuffel PHD PS Clinical CurrentSince Dec 15, 2012 Accepting new patients
Ridgway & Forsyth Psychology, P.S. Clinical PastSince May 1, 2013 Accepting new patients

Locations

1500 W 4th Ave
Ste 405
Spokane, WA 99201
Phone (509) 353-9885

628 S Maple St
Ste 101
Spokane, WA 99204
Phone (509) 456-7888

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1699801902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 S LAMONTE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 S MAPLE ST STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043445",
            "telephone_number": "509-456-7888",
            "fax_number": "509-838-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUFFEL",
        "first_name": "STEPHANIE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY2929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PY2929",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.