Active NPI
Robert G Patterson, EDD LIC PSYCHOLOGIST
- Psychologist
- Aberdeen, SD
National Provider Identifier
1003991936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 149
- Practice address
- 405 8TH Ave NW
Suite 333
Aberdeen, SD 57401 - Phone
- (605) 225-3622
- Fax
- (605) 229-2719
- NPI assigned
- Oct 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 149 | SD | Primary |
Addresses
Primary practice location
405 8TH Ave NW
Suite 333
Aberdeen, SD 57401
Mailing address
405 8TH Ave NW
Suite 333
Aberdeen, SD 57401
Phone (605) 225-3622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6550013 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149 | SD | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003991936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 8TH AVE NW",
"address_2": "SUITE 333",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "57401",
"telephone_number": "605-225-3622",
"fax_number": "605-229-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 8TH AVE NW",
"address_2": "SUITE 333",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "57401",
"telephone_number": "605-225-3622",
"fax_number": "605-229-2719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ROBERT",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "EDD LIC PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SD",
"license": "149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6550013",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, SD
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- Cynthia Jane Pallesen, CNP
- Paul Eckrich MD PC (Eckrich Urology)
- Abbie Paulson, CPM,LM
- Jorgen Paulson, ATC
- Peace of Mind Therapy Services LLC
- Angela Pearson, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.