Organization Active NPI

Yakima Neuropsychology PLLC

  • Clinical Neuropsychologist
  • Yakima, WA
National Provider Identifier
1720918436
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
YAKIMA NEUROPSYCHOLOGY PLLC
Practice address
4804 Summitview Ave Ste 2
Yakima, WA 98908-2850
Phone
(877) 899-3247
Fax
(509) 268-2993
NPI assigned
May 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Joseph FairNPI 1376919381
Title
Dr.
Phone
(877) 899-3247

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X

Addresses

Primary practice location

4804 Summitview Ave Ste 2
Yakima, WA 98908-2850

Mailing address

4804 Summitview Ave Ste 2
Yakima, WA 98908-2850

National Provider Directory

National Provider Directory

Locations

4804 Summitview Ave
Ste 2
Yakima, WA 98908
Phone (877) 899-3247

Practitioners & affiliated clinicians

Practitioners 1

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": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1720918436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 SUMMITVIEW AVE STE 2",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 SUMMITVIEW AVE STE 2",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082850",
            "telephone_number": "877-899-3247",
            "fax_number": "509-268-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA NEUROPSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "877-899-3247"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.