NPIMap

Organization Active NPI

Washington State University

Doing business as Psychology Clinic

  • Psychologist
  • Pullman, WA
National Provider Identifier
1861866535
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WASHINGTON STATE UNIVERSITY
Doing business as
Psychology Clinic
Practice address
305 NE Troy Mall
Pullman, WA 99164
Phone
(509) 335-3587
Fax
(509) 335-1030
NPI assigned
Nov 18, 2015
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dianne Phillips-Miller, PHD
Title
Psychology Clinic Directory
Phone
(509) 335-3587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

305 NE Troy Mall
Pullman, WA 99164

Mailing address

PO Box 644820
Pullman, WA 99164-4820
Phone (509) 335-3587

Other names 1

  • Psychology Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Speech and Hearing Clin6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

305 NE Troy Mal
Pullman, WA 99164
Phone (509) 335-3587

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1861866535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644820",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991644820",
            "telephone_number": "509-335-3587",
            "fax_number": "509-335-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NE TROY MALL",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "99164",
            "telephone_number": "509-335-3587",
            "fax_number": "509-335-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS-MILLER",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "PSYCHOLOGY CLINIC DIRECTORY",
        "authorized_official_telephone_number": "509-335-3587",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.