Erik Anders Nygard, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PHY60403650 Issued in WA

Practice address

884 West Park Avenue
Port Townsend, WA 98368

Phone

(360) 385-0321

Fax

(360) 379-5534

NPI assigned

Mar 18, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Madrona Institute of Washington

  • Addiction (Substance Use Disorder) Counselor
  • Port Townsend, WA
  • NPI 1154410876
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1396069449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "address_2": "884 WEST PARK AVENUE",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "98368",
            "telephone_number": "360-385-0321",
            "fax_number": "360-379-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 WEST PARK AVENUE",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "98368",
            "telephone_number": "360-385-0321",
            "fax_number": "360-379-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGARD",
        "first_name": "ERIK",
        "middle_name": "ANDERS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PHY60403650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042792",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest HC Seaport Landing Wa Operator NT-Hci LLC
• Polly Bess Norton, L.M.P.
• Nourishing Life
• Nourishing Life Chinese Medicine Clinic LLC
• Barry Dean Nutter, DMD
• Gemma C O Keeffe, M.D.
• Elizabeth O'Hara
• Beth Marie O'Neal, L.M.P.
• Lucy Obetz, LMP
• Samuel Obetz

• Psychologist in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.