Active NPI
Bobbi Kizer PHD LLC
- Psychologist
- Spokane, WA
National Provider Identifier
1932617412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 60804591
- Legal business name
- BOBBI KIZER PHD LLC
- Practice address
- 4219 E Prairie Lane CT
Spokane, WA 99223-6025 - Phone
- (504) 390-5782
- NPI assigned
- Jan 18, 2018
- Last updated
- Feb 28, 2022
- 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
- Dr. Bobbi Kizer, PHD
- Title
- Owner, Psychologist
- Phone
- (504) 390-5782
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 60804591 | WA | Primary |
Addresses
Primary practice location
4219 E Prairie Lane CT
Spokane, WA 99223-6025
Mailing address
4219 E Prairie Lane CT
Spokane, WA 99223-6025
Phone (504) 390-5782
Other names 1
- Bobby Kizer Phd LLC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Counseling Psychologist
- Spokane, WA
- NPI 1750638110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646006400000",
"number": "1932617412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4219 E PRAIRIE LANE CT",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992236025",
"telephone_number": "504-390-5782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4219 E PRAIRIE LANE CT",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992236025",
"telephone_number": "504-390-5782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOBBI KIZER PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-18",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A",
"authorized_official_last_name": "KIZER",
"authorized_official_first_name": "BOBBI",
"authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
"authorized_official_telephone_number": "504-390-5782",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "WA",
"license": "60804591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bobby Kizer Phd LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.