CORNERSTONE PSYCHOLOGIST, PS (NPI# 1295947687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295947687 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE PSYCHOLOGIST, PS |
| Practice Address |
1525 W 8th Ave Spokane WA 99204-3414 |
| Practice Telephone | 5094558886 |
| Practice Fax Number | 5094558887 |
| Mailing Telephone | 5094558886 |
| Mailing Fax Number | 5094558887 |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN ESTELLE (PRESIDENT) |
| Authorized Official Telephone | 5094558886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PY2057 | WA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PY1950 | WA | Behavioral Health & Social Service Providers |
| X | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30005127 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1525 W 8TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619116027 | John Estelle | Psychologist | 1525 W 8th Ave, Spokane, WA 99204-3414 | 2009-02-09 |
| 1356580765 | Michelle Marie Estelle | Psychologist | 1525 W 8th Ave, Spokane, WA 99204-3414 | 2009-02-09 |
| 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 |
| 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 |
| 1316062896 | Patricia Emelina Fernandez | Psychologist | 1705 S Kahuna Dr, Spokane, WA 99223-1029 | 2007-03-21 |
| 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.