Active NPI
Jennifer Van Wey PSYD PLLC
- Clinical Psychologist
- Spokane, WA
National Provider Identifier
1730760356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- JENNIFER VAN WEY PSYD PLLC
- Practice address
- 316 W Boone Ave Ste 656
Spokane, WA 99201-2346 - Phone
- (509) 606-3997
- Fax
- (509) 747-4420
- NPI assigned
- Apr 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Van Wey, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (509) 606-3997
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
316 W Boone Ave Ste 656
Spokane, WA 99201-2346
Mailing address
316 W Boone Ave Ste 656
Spokane, WA 99201-2346
Phone (509) 714-6082
Other names 1
- Jennifer Van Wey PsyD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211206002229 | WA | Part B Supplier - Clinic/Group Practice | 4587054556 |
Receives reassigned benefits from 1 practitioner Practice locations: Spokane, WA |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1618444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633910400000",
"number": "1730760356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 W BOONE AVE STE 656",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012346",
"telephone_number": "509-714-6082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W BOONE AVE STE 656",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012346",
"telephone_number": "509-606-3997",
"fax_number": "509-747-4420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER VAN WEY PSYD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-15",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A",
"authorized_official_last_name": "VAN WEY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "509-606-3997",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jennifer Van Wey PsyD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.