| Psychiatry Group | |
|
3131 N Division St Ste 201 Spokane WA 99207-1900 | |
| (509) 324-0444 | |
| Not Available |
| Full Name | Psychiatry Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3131 N Division St Ste 201, Spokane, Washington |
| Authorized Official Name and Position | Asif Raza Malik (PRACTICE OWNER) |
| Authorized Official Contact | 5093240444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Group 3131 N Division St Ste 201 Spokane WA 99207-1900 Ph: () - | Psychiatry Group 3131 N Division St Ste 201 Spokane WA 99207-1900 Ph: (509) 324-0444 |
| NPI Number | 1679015077 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 11/16/2016 |
| Medicare PECOS PAC ID | 6507132859 |
|---|---|
| Medicare Enrollment ID | O20171212002882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679015077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Charity A Elmendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124105630 PECOS PAC ID: 2668471277 Enrollment ID: I20061208000350 |
| Provider Name | Amy J Hiestand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124140116 PECOS PAC ID: 3678670031 Enrollment ID: I20070521000238 |
| Provider Name | Asif R Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265637532 PECOS PAC ID: 5991806879 Enrollment ID: I20070723000072 |
| Provider Name | Peter B Lucas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811052897 PECOS PAC ID: 9739260449 Enrollment ID: I20080121000057 |
| Provider Name | Salman Kazim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154437457 PECOS PAC ID: 1153410360 Enrollment ID: I20170509002772 |
| Provider Name | Kimberly Ann Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811483480 PECOS PAC ID: 5092067207 Enrollment ID: I20200619002246 |
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