MELROSE PSYCHOLOGICAL SERVICES (NPI# 1104359942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104359942 |
| Entity Type | Organization |
| Organization Name | MELROSE PSYCHOLOGICAL SERVICES |
| Practice Address |
707 W 7th Ave Spokane WA 99204-2832 |
| Practice Telephone | 5092188162 |
| Mailing Telephone | 5092188162 |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2017-04-08 |
| Authorized Official Name | DR. PATRICK BERTOTTI METOYER (PSYCHOLOGIST) |
| Authorized Official Telephone | 5092188162 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
60633613 | WA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MELROSE PSYCHOLOGICAL SERVICES, PLLC | 701 W 7th Ave Ste 105, Spokane, WA 99204-2833 |
| Street Address |
707 W 7TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801859079 | Robert E Stoffregen Ma Ps | Counselor | 707 W 7th Ave, Suite 223, Spokane, WA 99204-2821 | 2006-04-10 |
| 1235590720 | Justin Abitua | Acupuncturist | 707 W 7th Ave, 320a, Spokane, WA 99204-2832 | 2016-03-11 |
| 1790177186 | Heather Di Biase | Social Worker | 707 W 7th Ave, Ste 294, Spokane, WA 99204-2833 | 2015-02-23 |
| 1669861209 | Stephen E Howard | Counselor | 707 W 7th Ave, #292, Spokane, WA 99204-2832 | 2015-01-20 |
| 1952680167 | Rebecca Rachelle Swenson | Counselor | 707 W 7th Ave, Ste #220a, Spokane, WA 99204-2832 | 2011-08-05 |
| 1285879825 | Robert Eric Stoffregen | Counselor | 707 W 7th Ave, Suite 223, Spokane, WA 99204-2832 | 2008-12-11 |
| 1871787499 | Kari A. Cardon | Social Worker | 707 W 7th Ave, Suite 250, Spokane, WA 99204-2832 | 2007-08-28 |
| 1336344217 | Melissa J. Spivey | Counselor | 707 W 7th Ave, Suite 250, Spokane, WA 99204-2832 | 2007-06-19 |
| 1780707273 | Margaret Mary Cordova-hermann | Social Worker | 707 W 7th Ave, Suite 250, Spokane, WA 99204-2832 | 2007-04-09 |
| 1215068317 | Michaele Eileen Dietzel | Counselor | 707 W 7th Ave, Suite 240, Spokane, WA 99204-2832 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
| 1386064756 | Angela Hille | Psychologist | 101 W Cataldo Ave Ste 210, Spokane, WA 99201-3200 | 2014-04-23 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1669801015 | Dennis Dyck | Psychologist | Tapio Professional Center, Green Flag Bldg 104 S. Freya, Suite 112c, Spokane, WA 99202 | 2013-11-06 |
| 1740585025 | John Bruce Jessen | Psychologist | 4107 S Bellgrove Ln, Spokane, WA 99223-6185 | 2011-01-18 |
| 1295970333 | Jameson C Lontz | Psychologist | 1624 W Dean Ave, Spokane, WA 99201-1825 | 2008-12-03 |
| 1790952141 | Nancy L. Worsham | Psychologist | East 502 Boone Ave, Gonzaga University Psychology Department, Spokane, WA 99258-0056 | 2008-05-14 |
| 1295947687 | Cornerstone Psychologist, Ps | Psychologist | 1525 W 8th Ave, Spokane, WA 99204-3414 | 2007-05-05 |
| 1568688646 | Kayleen Islam-zwart | Psychologist | 140 S Arthur St Ste 410, Spokane, WA 99202-2220 | 2007-04-17 |
| 1427272384 | Dennis Richard Pollack | Psychologist | 9 S Washington St, Suite 709, Spokane, WA 99201-3719 | 2007-04-12 |
| Find all providers in SPOKANE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.