Northwest Behavioral Health Clinic

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1119 Issued in WA

Legal business name

NORTHWEST BEHAVIORAL HEALTH CLINIC

Practice address

905 W Riverside Ave Ste 610
Spokane, WA 99201-1099

Phone

(509) 742-3460

Fax

(509) 742-3461

NPI assigned

Feb 7, 2009

Last updated

Jun 18, 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

Walter Scott Mabee, PHDNPI 1083700694

Title

Psychologist

Phone

(509) 742-3460

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Scott Mabee, PHD

  • Psychologist
  • Spokane, WA
  • NPI 1083700694
  Authorized official Same address or phone
• Steven Elliot Erickson I, M.ED. LMHC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1750538534
  NPD (past)

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

{
    "created_epoch": "1233964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1700025202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W RIVERSIDE AVE STE 610",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011099",
            "telephone_number": "509-742-3460",
            "fax_number": "509-742-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W RIVERSIDE AVE STE 610",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011099",
            "telephone_number": "509-742-3460",
            "fax_number": "509-742-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST BEHAVIORAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-07",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "MABEE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "509-742-3460",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "1119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7015662",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northwest Counseling Center PLLC
• Northwest Direct Primary Care (Northwest DPC & Headache)

• Psychologist in Spokane, WA
• Providers in Spokane, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.