Individual provider Active NPI

Pamela S. Ridgway, PH.D.

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1952402083
Registry record updated Jan 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY-2480 Issued in WA
Practice address
628 S Maple St
Ste 102
Spokane, WA 99204-3445
Phone
(509) 353-9885
Fax
(509) 353-9886
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2017

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 PY-2480 WA Primary

Addresses

Primary practice location

628 S Maple St
Ste 102
Spokane, WA 99204-3445

Mailing address

628 S Maple St
Ste 102
Spokane, WA 99204-3445
Phone (509) 353-9885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY-2480WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Washington Kuffel PHD PS Clinical PastSince May 1, 2013 Accepting new patients

Organizations & group practices 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483747200000",
    "number": "1952402083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 S MAPLE ST",
            "address_2": "STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043445",
            "telephone_number": "509-353-9885",
            "fax_number": "509-353-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 S MAPLE ST",
            "address_2": "STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043445",
            "telephone_number": "509-353-9885",
            "fax_number": "509-353-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGWAY",
        "first_name": "PAMELA",
        "middle_name": "S.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2017-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY-2480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.