Robert Thomas Anderson, MD
Individual provider Active NPI Psychiatry Physician · Waterville, ME
NPI 1073535530 · NPPES record last updated Oct 31, 2011
Key facts
- NPI
- 1073535530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 010642 (ME)
- Practice address
- 67 Eustis Pkwy
Waterville, ME 04901-5173 - Phone
- (207) 873-2136
- Fax
- (207) 872-4522
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010642 | ME | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 010642 | ME | Yes |
Addresses
Primary practice location
67 Eustis Pkwy
Waterville, ME 04901-5173
Mailing address
67 Eustis Pkwy
Waterville, ME 04901-5173
Phone (207) 873-2136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 333590099 | Medicaid | ME | |
| P00136027 | Other | ME | RAILROAD MEDICARE |
Other providers in Waterville, ME
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- Janet Anderson-Murch
- Jean Diciancia Anderson
- Ann Traynor, MD, PA
- Anna V. O'Keefe, DMD, P.a.
- Anne Pratt Giroux Audiology
- Michael J Antoniello
- Apex Endodontics, LLC
All providers in Waterville, ME · Psychiatry Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.