DEPTH PSYCHOLOGY SERVICES, LLC (NPI# 1033651237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033651237 |
| Entity Type | Organization |
| Organization Name | DEPTH PSYCHOLOGY SERVICES, LLC |
| Other Organization Name | WARD ROBAK, PHD |
| Practice Address |
108 N Washington St Ste 408 Spokane WA 99201 |
| Mailing Address |
108 N Washington St Ste 408 Spokane WA 99201-5001 |
| Practice Telephone | 5092204398 |
| Practice Fax Number | 5092413864 |
| Mailing Telephone | 5092204398 |
| Mailing Fax Number | 5092413864 |
| Enumeration Date | 2016-11-06 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | DR. WARD ROBAK (OWNER & CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 5092204398 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PY60608652 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2075526 | 05 |
| Other Name | Type Code |
|---|---|
| Ward Robak, PhD | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DEPTH PSYCHOLOGY SERVICES, LLC | 108 N Washington St, Suite 408, Spokane, WA 99201-5001 |
| Street Address |
108 N WASHINGTON ST STE 408 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904670 | Ward Robak | Counselor | 108 N Washington St Ste 408, Spokane, WA 99201 | 2016-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962928143 | Discoveries Group and Individual Counseling Services, LLC | Clinic/Center | 1100 W 6th Ave Ste A, Spokane, WA 99204-3104 | 2017-08-18 |
| 1760568760 | Michael J Reznicek | Clinic/Center | 1717 S Rustle Rd, Suite 212a, Spokane, WA 99224-2065 | 2006-10-31 |
| 1194340679 | Little Bird Psychotherapy, P.s., Inc | Clinic/Center | 1325 W 1st Ave Ste 202, Spokane, WA 99201-4148 | 2020-06-10 |
| 1558835157 | Jacquelynn Kuhn Counseling & Consulting, Pllc | Clinic/Center | 701 W 7th Ave Ste 120, Spokane, WA 99204-2849 | 2019-01-16 |
| 1497237457 | Mikolasy, LLC | Clinic/Center | 400 S Jefferson St Ste 451, Spokane, WA 99204-3143 | 2018-09-05 |
| 1346695418 | Koru Counseling Inc | Clinic/Center | 7307 N Division St, Suite 311, Spokane, WA 99208-6545 | 2016-04-26 |
| 1861819799 | Aragon Mental Health, LLC | Clinic/Center | 140 S Arthur St, Suite 670, Spokane, WA 99202-2204 | 2014-03-28 |
| 1992129902 | Mary Kay Hall, Msw, LLC | Clinic/Center | 140 S Arthur St, Suite 660, Spokane, WA 99202-2204 | 2014-02-11 |
| 1598109407 | Spokane Addiction Recovery Centers | Clinic/Center | 520 S Walnut St, Spokane, WA 99204-3320 | 2013-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060085 | Vanessa Honn, Phd, Ps | Clinic/Center | 3819 N Madison St, Tacoma, WA 98407-5725 | 2020-10-16 |
| 1467067439 | New Advanced Healthcare Consulting Pllc | Clinic/Center | 300 Lenora St # 984, Seattle, WA 98121-2411 | 2020-09-15 |
| 1194336453 | Affiliated Mental Health Programs, Inc. | Clinic/Center | 6511 51st Ave S, Seattle, WA 98118-3319 | 2020-08-11 |
| 1801406624 | Skylark Behavioral Health, Pllc | Clinic/Center | 300 Lenora St # 957, Seattle, WA 98121-2411 | 2020-08-06 |
| 1629686498 | Wendy Becker Psychotherapy | Clinic/Center | 12685 Sapphire Lane South East, Olalla, WA 98359 | 2020-07-17 |
| 1154969384 | Freedom Services, Pllc | Clinic/Center | 17775 Se Mill Plain Blvd Apt 252, Vancouver, WA 98683-7559 | 2019-12-18 |
| 1265077846 | Buena Vida Counseling Pllc | Clinic/Center | 221 W Railroad Ave Ste 2, Shelton, WA 98584-3507 | 2019-11-07 |
| 1720620644 | Ballard Avenue Psychiatry Pllc | Clinic/Center | 5306 Ballard Ave Nw Ste 317, Seattle, WA 98107-4366 | 2019-10-11 |
| 1225687544 | Lillie Mccatty, Lmhc | Clinic/Center | 203 4th Ave E Ste 307, Olympia, WA 98501-1188 | 2019-09-09 |
| 1306401278 | Christeen Deneui | Clinic/Center | 9518 49th Ave W Apt 15e, Mukilteo, WA 98275-3763 | 2019-05-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DEPTH PSYCHOLOGY SERVICES, LLC.
| 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.