Individual provider Active NPI

Winifred L Daisley, PH.D.

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1992816789
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
60046448 Issued in WA
Practice address
105 W 8TH Ave
Suite 332C
Spokane, WA 99204-2302
Phone
(509) 838-7400
Fax
(509) 838-6827
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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 60046448 WA Primary

Addresses

Primary practice location

105 W 8TH Ave
Suite 332C
Spokane, WA 99204-2302

Mailing address

105 W 8TH Ave
Suite 332C
Spokane, WA 99204-2302
Phone (509) 838-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000152 WA Practitioner - Clinical Psychologist 1052312691 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60046448WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Psychology and Neuropsychology, PS CurrentSince Mar 7, 2010 Accepting new patients
Revive Counseling Spokane, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Paul J Domitor and Associates Past Accepting new patients

Locations

105 W 8th Ave
Ste 332C
Spokane, WA 99204
Phone (509) 838-7400

546 N Jefferson Ln
Ste 302
Spokane, WA 99201
Phone (509) 838-7400

901 N Monroe St
Ste 200
Spokane, WA 99201
Phone (509) 328-2740

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1992816789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "SUITE 332C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-838-7400",
            "fax_number": "509-838-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "SUITE 332C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-838-7400",
            "fax_number": "509-838-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAISLEY",
        "first_name": "WINIFRED",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60046448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.