NPIMap

Organization Active NPI

Cedarcrest Behavioral Medicine LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1700698271
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CEDARCREST BEHAVIORAL MEDICINE LLC
Practice address
12623 E Sprague Ave Ste 6
Spokane Valley, WA 99216-0764
Phone
(509) 505-4035
Fax
(509) 253-5183
NPI assigned
Jan 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
George Wangai, MSN, APRN, PMHNP-BCNPI 1316604473
Title
Co-Owner
Phone
(770) 292-0854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

12623 E Sprague Ave Ste 6
Spokane Valley, WA 99216-0764

Mailing address

12623 E Sprague Ave Ste 6
Spokane Valley, WA 99216-0764
Phone (509) 505-4035

Other names 1

  • Cedarcrest Behavioral Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1700698271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12623 E SPRAGUE AVE STE 6",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160764",
            "telephone_number": "509-505-4035",
            "fax_number": "509-253-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12623 E SPRAGUE AVE STE 6",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160764",
            "telephone_number": "509-505-4035",
            "fax_number": "509-253-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARCREST BEHAVIORAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "WANGAI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "770-292-0854",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedarcrest Behavioral Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedarcrest Behavioral Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.