PACIFIC FORENSIC PSYCHOLOGY SERVICES (NPI# 1699081604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699081604 |
| Entity Type | Organization |
| Organization Name | PACIFIC FORENSIC PSYCHOLOGY SERVICES |
| Practice Address |
427 W 7th Ave Spokane WA 99204-2611 |
| Mailing Address |
Po Box 10757 Spokane WA 99209-0759 |
| Practice Telephone | 4075522870 |
| Mailing Telephone | 4075522870 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | DR. CEDAR O'DONNELL (MANAGER) |
| Authorized Official Telephone | 4075522870 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers |
| Street Address |
427 W 7TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2611 |
| 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 | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265696884 | C O'donnell | Psychologist | 1903 W Garland Ave, Box 10757, Spokane, WA 99205-2519 | 2008-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148878 | Sandra Lee Sellam | Psychologist | 4525 S Warner St Apt 3, Tacoma, WA 98409-5503 | 2020-06-09 |
| 1780157495 | Brian William Judd | Psychologist | 501 Columbia St Nw Ste A, Olympia, WA 98501-1062 | 2019-01-04 |
| 1922506377 | Diane Weyer Dewitt | Psychologist | 12356 Northup Way Ste 100, Bellevue, WA 98005-1956 | 2018-01-30 |
| 1598130155 | Corre Spence | Psychologist | 2204 S Norman St, Seattle, WA 98144-2943 | 2015-12-08 |
| 1023432150 | Joseph Nevotti | Psychologist | 2023 East Sims Way, Port Townsend, WA 98368 | 2014-02-10 |
| 1386931608 | Brendon Scholtz | Psychologist | 16731 188th Pl Ne, Woodinville, WA 98072-9197 | 2011-07-07 |
| 1891992467 | John Robert Wheeler | Psychologist | 19105 36th Ave W, Suite 206, Lynnwood, WA 98036-5760 | 2007-06-28 |
| 1619184827 | Norman James Mar | Psychologist | 515 Minor Ave Ste 230, Seattle, WA 98104-2133 | 2007-05-17 |
| 1265658066 | Christopher Kirk Johnson | Psychologist | 3112 Main St, Vancouver, WA 98663-2752 | 2007-04-18 |
| 1831244433 | Bruce Arthur Olson | Psychologist | 18532 Firlands Way North, Suite A, Seattle, WA 98133-3986 | 2007-01-24 |
| Find all providers with the same taxonomy | ||||
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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.