Spectrum Psychological Services

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SPECTRUM PSYCHOLOGICAL SERVICES

Practice address

33305 1St Way S Ste B212
Federal Way, WA 98003-6259

Phone

(253) 709-8950

NPI assigned

Oct 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Adam Rivard Walter

Title

Clinic Manager

Phone

(253) 709-8950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1831665488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33305 1ST WAY S STE B212",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33305 1ST WAY S STE B212",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036259",
            "telephone_number": "253-709-8950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33305 1st Way S Ste B212",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036259",
            "country_code": "US",
            "telephone_number": "253-709-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECTRUM PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "RIVARD WALTER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "253-709-8950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John South
• Khamphoucanh Southisombath, M.D.
• David B Souza, OD
• Meghan Eileen Spain, DDS
• Special Delivery Dental Care, PC
• Corre Spence, PSYD
• Philip Gerard Spencer, D.C.
• Taresa A. Spencer, LPN
• Rasheal S Spikes
• Minnie E Spindler, MD

• Counselor in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.