Organization Active NPI

Gerdin Psychological Services

  • Psychologist
  • Spokane, WA
National Provider Identifier
1942896329
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GERDIN PSYCHOLOGICAL SERVICES
Practice address
701 W 7TH Ave Ste 160a
Spokane, WA 99204-2835
Phone
(651) 815-2524
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Dr. Tyler A Gerdin, PSYD, ABPPNPI 1306246392
Title
Clinical Psychologist
Phone
(509) 676-4313

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

Addresses

Primary practice location

701 W 7TH Ave Ste 160a
Spokane, WA 99204-2835

Mailing address

701 W 7TH Ave Ste 160a
Spokane, WA 99204-2835
Phone (651) 815-2524

National Provider Directory

National Provider Directory

Locations

701 W 7th Ave
Ste 160A
Spokane, WA 99204
Phone (509) 676-4313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1942896329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 7TH AVE STE 160A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042835",
            "telephone_number": "651-815-2524",
            "fax_number": "509-676-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 7TH AVE STE 160A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042835",
            "telephone_number": "651-815-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERDIN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "GERDIN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "509-676-4313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, ABPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2021; 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.