PSYCHIATRIC SERVICES AND MEDICATION MANAGEMENT INC
NPI 1710477807
Nurse Practitioner - Psychiatric/Mental Health in Spokane Valley, WA

Q: What is Psychiatric Services And Medication Management Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 14, 2018CLIA 50D2148391 · Waiver

12615 E MISSION AVE STE 310, SPOKANE VALLEY, WA 99216(509) 707-8581 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 28, 2022, Sep 18, 2020, Sep 19, 2018 and 1 more (4 updates tracked since 2018).

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About Psychiatric Services And Medication Management Inc NPPES

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

PSYCHIATRIC SERVICES AND MEDICATION MANAGEMENT INC (NPI 1710477807) is a healthcare organization registered as a psychiatric/mental health in Spokane Valley, Washington and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Fred M Itveldt, Arnp, as its authorized official.

NPPES Registry Identity

NPI1710477807

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NamePSYCHIATRIC SERVICES AND MEDICATION MANAGEMENT INC

Location Address12615 E MISSION AVE STE 310Spokane Valley, WA 99216-1047

Mailing Address12615 E Mission Ave Ste 310Spokane Valley, WA 99216-1047 · (509) 707-8581

Phone(509) 707-8581

Organization SubpartNo

Authorized OfficialFred M ItveldtArnp · (509) 707-8581

Enumeration DateMay 14, 2018

Last NPPES UpdateSeptember 28, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2020

✔ NPI 1710477807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP60451837

12615 E MISSION AVE STE 310, Spokane Valley, WA 99216

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2148391

Psychiatric Services And Medication Management · Spokane Valley, WA

Active · expires Apr 4, 2028

CLIA Number50D2148391

Laboratory TypePhysician Office

Certificate Effective DateMay 9, 2018

Certificate Expiration DateApril 4, 2028

Laboratory DirectorFred Itveldt

Laboratory Phone(509) 707-8581

Laboratory LocationPsychiatric Services And Medication Management12615 E Mission Ave Ste 310, Spokane Valley, WA 99216

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

FRED MICHAEL ITVELDT MSN

Nurse Practitioner (Psychiatric/Mental Health)

12615 E MISSION AVE STE 310
SPOKANE VALLEY, WA 99216

Spokane County (509) 707-8581

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 Psychiatric Services And Medication Management Inc's NPI number?

The NPI number for Psychiatric Services And Medication Management Inc is 1710477807. It was assigned to this organization in the NPPES registry on May 14, 2018.

Where is Psychiatric Services And Medication Management Inc located?

Psychiatric Services And Medication Management Inc is located at 12615 E Mission Ave Ste 310, Spokane Valley, WA 99216. The listed phone number is (509) 707-8581.

What is Psychiatric Services And Medication Management Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Psychiatric Services And Medication Management Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2148391) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Psychiatric Services And Medication Management Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Psychiatric Services And Medication Management Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Psychiatric Services And Medication Management Inc was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.