DR. NATHANAEL JONATHAN CORDUAN PSYD
NPI 1053640466
Psychologist in Spokane, WA

Active since December 14, 2009PECOS Enrolled
107 S DIVISION ST, SPOKANE, WA 99202(509) 838-4651(509) 363-2762 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nathanael Jonathan Corduan Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NATHANAEL JONATHAN CORDUAN PSYD (NPI 1053640466) is an individual psychologist in Spokane, Washington, licensed in Washington (PY60073433) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053640466
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. NATHANAEL JONATHAN CORDUANCredential: PSYD
Location Address107 S DIVISION STSpokane, WA 99202
Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651 · Fax (509) 363-2762
Fax(509) 363-2762
Sole ProprietorYes
Enumeration DateDecember 14, 2009
Last NPPES UpdateMay 18, 2018
NPI 1053640466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY60073433
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
107 S DIVISION ST, Spokane, WA 99202

Other Identifiers 1

Medicaid1053640466WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nathanael Jonathan Corduan Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
107 S DIVISION ST
SPOKANE, WA 99202
Social Worker
107 S DIVISION ST
SPOKANE, WA 99202
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Social Worker
107 S DIVISION ST
SPOKANE, WA 99202
Nurse Practitioner (Family)
107 S DIVISION ST
SPOKANE, WA 99202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathanael Corduan's NPI number?

The NPI number for Nathanael Corduan is 1053640466. It was assigned to this individual provider in the NPPES registry on December 14, 2009.

Where is Nathanael Corduan located?

Nathanael Corduan practices at 107 S Division St, Spokane, WA 99202. The listed phone number is (509) 838-4651.

What is Nathanael Corduan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Nathanael Corduan enrolled in Medicare?

Yes. Nathanael Corduan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathanael Corduan was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.