Active NPI
Debbie Bardwell, PH.D.
- Psychologist
- Spokane Valley, WA
National Provider Identifier
1801899109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY1721
- Practice address
- 920 N Argonne Rd Ste 207
Spokane Valley, WA 99212-2721 - Phone
- (509) 263-3060
- Fax
- (509) 448-0958
- NPI assigned
- May 31, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF 1117 | WA | |
| Psychologist | 103T00000X | PY1721 | WA | Primary |
Addresses
Primary practice location
920 N Argonne Rd Ste 207
Spokane Valley, WA 99212-2721
Mailing address
PO Box 13074
Spokane Valley, WA 99213-3074
Phone (509) 263-3060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BA8938 | Other | WA | REGENCE BLUESHIELD |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY1721 | WA | MD | Psychologist |
| LF 1117 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1801899109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13074",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992133074",
"telephone_number": "509-263-3060",
"fax_number": "509-448-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 N ARGONNE RD STE 207",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992122721",
"telephone_number": "509-263-3060",
"fax_number": "509-448-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDWELL",
"first_name": "DEBBIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF 1117",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY1721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "BA8938",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.