Active NPI
Robert Fasman PHD PLLC
- Psychologist
- Vancouver, WA
National Provider Identifier
1154954261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- ROBERT FASMAN PHD PLLC
- Practice address
- 4610 NE 77TH Ave Ste 104
Vancouver, WA 98662-6790 - Phone
- (360) 587-2500
- NPI assigned
- Feb 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Fasman, PHD
- Title
- Owner
- Phone
- (360) 587-2500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
4610 NE 77TH Ave Ste 104
Vancouver, WA 98662-6790
Mailing address
4610 NE 77TH Ave Ste 104
Vancouver, WA 98662-6790
Phone (360) 587-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4610 NE 77th Ave
Ste 104
Vancouver, WA 98662
Phone (360) 587-2500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738281600000",
"number": "1154954261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 NE 77TH AVE STE 104",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626790",
"telephone_number": "360-587-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 NE 77TH AVE STE 104",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626790",
"telephone_number": "360-587-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT FASMAN PHD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-17",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A",
"authorized_official_last_name": "FASMAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-587-2500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.