Active NPI
Rachel Angela Wix, PH.D.
- Psychologist
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 60405201
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982091591 | Medicaid | WA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 60405201 | WA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association of Spokane | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1295946101
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.