Individual provider Active NPI

Jennifer Van Wey, PSYD

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1942369764
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00003323 Issued in WA
Practice address
316 W Boone Ave
Ste 656
Spokane, WA 99201-2346
Phone
(509) 606-3997
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY00003323 WA Primary

Addresses

Primary practice location

316 W Boone Ave
Ste 656
Spokane, WA 99201-2346

Mailing address

316 W Boone Ave
Ste 656
Spokane, WA 99201-2346
Phone (509) 606-3997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000592 WA Practitioner - Clinical Psychologist 1456409069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

316 W Boone Ave
Suite 656
Spokane, WA 99201-2346
Phone (509) 606-3997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY00003323WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Van Wey PSYD PLLC Clinical CurrentSince Aug 19, 2021 Accepting new patients
Optic One Eye Care Centers of Spokane PC Past Accepting new patients

Locations

316 W Boone Ave
Ste 656
Spokane, WA 99201
Phone (509) 242-7200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1942369764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "STE 656",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012346",
            "telephone_number": "509-606-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "STE 656",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012346",
            "telephone_number": "509-606-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WEY",
        "first_name": "JENNIFER",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.