Individual provider Active NPI

Jens Uhder, PSY.D

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1750899514
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60797048 Issued in WA
Practice address
707 W 7TH Ave
Spokane, WA 99204-2832
Phone
(509) 730-2211
Fax
(509) 730-2212
NPI assigned
Jan 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 PY60797048 WA Primary

Addresses

Primary practice location

707 W 7TH Ave
Spokane, WA 99204-2832

Mailing address

12810 S Valley Chapel Rd
Valleyford, WA 99036-5012
Phone (509) 730-2211

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Valleyford

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY60797048WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optic One Eye Care Centers of Spokane PC PastSince Feb 12, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1750899514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 S VALLEY CHAPEL RD",
            "city": "VALLEYFORD",
            "state": "WA",
            "postal_code": "990365012",
            "telephone_number": "509-730-2211",
            "fax_number": "509-730-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042832",
            "telephone_number": "509-730-2211",
            "fax_number": "509-730-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHDER",
        "first_name": "JENS",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-15",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60797048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Valleyford",
            "affiliation": "N",
            "address_1": "12810 S Valley Chapel Rd",
            "city": "Valleyford",
            "state": "WA",
            "country_code": "US",
            "postal_code": "990365012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jul 22, 2021; 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.