Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154863108 Individual Practitioner Female Practitioner

Dr. Stacey Marion Harbottle , PsyD

Psychologist • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Harbottle, PsyD is a registered healthcare professional specializing in Psychologist in Spokane, WA. Practice services are available at 107 S DIVISION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

107 S Division St

Spokane, WA 99202

Telephone 5098384651
Fax 5093632762
Associated Practice Facility / Clinic
🏢 Frontier Behavioral Health Facility NPI 1861495327

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
73 Specialists

Practicing in Spokane, WA (1137 Statewide)

Telehealth Adoption Rate
5.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WA PY60692937

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1154863108 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jamie Wagley , BSN, RN

Registered Nurse

NPI 1003283896

Bachelor of Science in Nursing, Registered Nurse

NPI 1003288796

Master of Social Work

NPI 1003385568

AA, Registered Nurse

NPI 1003386236

Bachelor of Arts

Cheryl Brown

Peer Specialist

NPI 1003423138
Kimberly Mitchell , MN

Registered Nurse

NPI 1003451246

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location May 22, 2018

Registered at 107 S DIVISION ST, SPOKANE, WA 99202 (Tel: 5098384651)

NPI Profile Active November 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2016

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

📍
Updated Business Mailing Address November 08, 2016

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

👤
Provider Name / Credentials Updated November 08, 2016

Recorded as STACEY HARBOTTLE, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2016

Psychologist (License #PY60692937 in WA)

🟢
Initial NPI Registration & Enumeration November 08, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154863108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2016
Last Update: May 22, 2018
Sole Proprietor: Yes

Mailing Address

107 S Division St

Spokane, WA 992021510

Phone: 5098384651

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.