Individual provider Active NPI

Rachel Angela Wix, PH.D.

  • Psychologist
  • Spokane, WA
National Provider Identifier
1982091591
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 60405201 Issued in WA
Practice address
5901 N Lidgerwood St Ste 223
Spokane, WA 99208-1122
Phone
(509) 444-8888
NPI assigned
Apr 21, 2015
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 60405201 WA Primary
Counseling Psychologist 103TC1900X PY 60405201 WA

Addresses

Primary practice location

5901 N Lidgerwood St Ste 223
Spokane, WA 99208-1122

Mailing address

107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651

Other practice location 1

107 S Division St
Spokane, WA 99202
Phone (509) 838-4651 ext. 2206

Other identifiers 1

IdentifierTypeStateIssuer
1982091591MedicaidWA

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: Yes
  • 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 60405201WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Aug 1, 2021 Accepting new patients
Community Health Association of Spokane Current Accepting new patients

Locations

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

5901 N Lidgerwood St
Ste 126
Spokane, WA 99208
Phone (509) 434-1990

5901 N Lidgerwood St
Ste 223
Spokane, WA 99208
Phone (509) 489-4763

611 N Iron Bridge Way
Spokane, WA 99202

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1982091591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021510",
            "telephone_number": "509-838-4651",
            "fax_number": "509-363-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N LIDGERWOOD ST STE 223",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081122",
            "telephone_number": "509-444-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S Division St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "99202",
            "country_code": "US",
            "telephone_number": "509-838-4651 x2206",
            "fax_number": "509-363-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIX",
        "first_name": "RACHEL",
        "middle_name": "ANGELA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY 60405201",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY 60405201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982091591",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.