Active NPI
Winifred L Daisley, PH.D.
- Clinical Psychologist
- Spokane, WA
National Provider Identifier
1992816789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 60046448
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60046448 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Psychology and Neuropsychology, PS | Current | Accepting new patients | |
| Revive Counseling Spokane, PLLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spokane, WA
- NPI 1316477805
-
- Psychologist
- Spokane, WA
- NPI 1518951094
-
- Psychologist
- Spokane, WA
- NPI 1962496448
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.