Individual provider Active NPI

Beth R Fitterer, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Spokane, WA
National Provider Identifier
1952575300
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY00003701 Issued in WA
Practice address
2527 E 27TH Ave
Suite C205
Spokane, WA 99223-4909
Phone
(509) 535-0656
Fax
(509) 535-0638
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PY00003701 WA Primary

Addresses

Primary practice location

2527 E 27TH Ave
Suite C205
Spokane, WA 99223-4909

Mailing address

2527 E 27TH Ave
Suite C205
Spokane, WA 99223-4909
Phone (509) 535-0656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00003701WAMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1952575300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 E 27TH AVE",
            "address_2": "SUITE C205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234909",
            "telephone_number": "509-535-0656",
            "fax_number": "509-535-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 E 27TH AVE",
            "address_2": "SUITE C205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234909",
            "telephone_number": "509-535-0656",
            "fax_number": "509-535-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTERER",
        "first_name": "BETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "PY00003701",
            "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 Oct 2, 2008; 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.