Individual provider Active NPI

Ted G. Sneed, PH.D.

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1790862001
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60516246 Issued in WA
Practice address
17 E 8TH Ave
Spokane, WA 99202-1201
Phone
(916) 966-8375
Fax
(360) 253-5170
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY17786 CA
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY60516246 WA Primary

Addresses

Primary practice location

17 E 8TH Ave
Spokane, WA 99202-1201

Mailing address

3328 W Horizon Ave
Spokane, WA 99208-8812
Phone (916) 966-8375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803002248 WA Practitioner - Clinical Psychologist 0648378182 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seatac Senior Psychology LLCGroup PAC ID 7719032226, 14 clinicians

Practice addresses (Care Compare)

9340 NE 76TH St
Vancouver, WA 98662-3721
Phone (360) 253-4912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY17786CAMDPsychologist
PY60516246WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Spine and Pain Medicine, PLLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Seatac Senior Psychology LLC Clinical CurrentSince Dec 1, 2024 Accepting new patients
Spokane Senior Psychology LLC Clinical CurrentSince Jun 1, 2021 Accepting new patients
Seatac Senior Psychology LLC Clinical Current Accepting new patients
Selkirk Interventional Pain Physicians PLLC Single Specialty Past Accepting new patients
Rare Wellness PastSince Oct 23, 2022 Accepting new patients

Locations

2701 Clare Ave
Bremerton, WA 98310
Phone (360) 377-3951

5901 N Lidgerwood St
Ste 218
Spokane, WA 99208
Phone (509) 464-6208

17 E 8th Ave
Spokane, WA 99202
Phone (509) 474-5678

9340 NE 76th St
Vancouver, WA 98662
Phone (360) 253-4912

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1790862001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 W HORIZON AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088812",
            "telephone_number": "916-966-8375",
            "fax_number": "530-622-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021201",
            "telephone_number": "916-966-8375",
            "fax_number": "360-253-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEED",
        "first_name": "TED",
        "middle_name": "G.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17786",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60516246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.