Provider Demographics
NPI:1871740571
Name:TRANSITION ASSOCIATES PS
Entity type:Organization
Organization Name:TRANSITION ASSOCIATES PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-747-6401
Mailing Address - Street 1:PO BOX 9358
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99209-9358
Mailing Address - Country:US
Mailing Address - Phone:509-747-3697
Mailing Address - Fax:509-624-7482
Practice Address - Street 1:1704 W 11TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-4110
Practice Address - Country:US
Practice Address - Phone:509-747-6401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000226382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1007954Medicaid
WAG8875437Medicare PIN
WAA15358Medicare UPIN