Active NPI
Integrated Health and Behavior, PLLC
Doing business as Ihb
- Child & Adolescent Psychiatry Physician
- Liberty Lake, WA
National Provider Identifier
1902129638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD00047831
- Legal business name
- INTEGRATED HEALTH AND BEHAVIOR, PLLC
- Doing business as
- Ihb
- Practice address
- 2310 N Molter Rd Ste 105
Liberty Lake, WA 99019-8621 - Phone
- (509) 891-7867
- Fax
- (509) 922-0984
- NPI assigned
- Mar 9, 2010
- Last updated
- Dec 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara Fisher Wirthlin, JD
- Title
- Treasurer/Office Manager
- Phone
- (509) 891-7867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD00047831 | WA | Primary |
Addresses
Primary practice location
2310 N Molter Rd Ste 105
Liberty Lake, WA 99019-8621
Mailing address
2310 N Molter Rd Ste 105
Liberty Lake, WA 99019-8621
Phone (509) 891-7867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487664603 | Other | WA | NPI FOR INDIVIDUAL |
Other names 1
- IHB
National Provider Directory
National Provider DirectoryLocations
2310 N Molter Rd
Ste 105
Liberty Lake, WA 99019
Phone (509) 891-7867
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Clinical Social Worker
- Spokane, WA
- NPI 1679868723
-
- Mental Health Counselor
- Spokane, WA
- NPI 1225221823
-
- Psychiatry Physician
- Liberty Lake, WA
- NPI 1487664603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449532800000",
"number": "1902129638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 N MOLTER RD STE 105",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990198621",
"telephone_number": "509-891-7867",
"fax_number": "509-922-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 N MOLTER RD STE 105",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990198621",
"telephone_number": "509-891-7867",
"fax_number": "509-922-0984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED HEALTH AND BEHAVIOR, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-09",
"last_updated": "2015-12-08",
"status": "A",
"authorized_official_last_name": "WIRTHLIN",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "FISHER",
"authorized_official_title_or_position": "TREASURER/OFFICE MANAGER",
"authorized_official_telephone_number": "509-891-7867",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "MD00047831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR INDIVIDUAL",
"identifier": "1487664603",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "IHB",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Liberty Lake, WA
- Bruce Larkin Hotchkiss, PHARM.D.
- Laura Anne Hotchkiss, MD
- Armani Iacolucci, MA60676566
- Inclusa Health and Wellness PLLC
- Innerlight Wellness P.L.L.C
- Intelligent Balance Chiropractic Spinal Care, PLLC
- Intelligent Balance Chiropractic Spinal Care, PLLC
- Intelligent Balance Spinal Care, PLLC
- Introspective Health PLLC (Introspective Therapy)
- Candice M Isom, LMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.