Individual provider Active NPI

Anthony Delbert, PHD

  • Clinical Psychologist
  • Spokane Valley, WA
National Provider Identifier
1437105244
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
TY3052 Issued in WA
Practice address
17121 E 8TH Ave
Spokane Valley, WA 99016-8556
Phone
(509) 924-6161
Fax
(509) 924-6166
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X TY3052 WA Primary

Addresses

Primary practice location

17121 E 8TH Ave
Spokane Valley, WA 99016-8556

Mailing address

9340 NE 76TH St
Vancouver, WA 98662-3721
Phone (360) 253-4912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040830000033 WA Practitioner - Clinical Psychologist 7416922935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seatac Senior Psychology LLCGroup PAC ID 7719032226, 14 clinicians

Practice addresses (Care Compare)

9340 NE 76TH St
Vancouver, WA 98662-3721
Phone (360) 253-4912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
TY3052WAMDClinical Psychologist
405AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seatac Senior Psychology LLC Clinical Current Accepting new patients
Seatac Senior Psychology LLC Clinical CurrentSince Dec 1, 2024 Accepting new patients
Providence Health & Services - Washington PastSince Sep 1, 2011 Accepting new patients

Locations

2701 Clare Ave
Bremerton, WA 98310
Phone (360) 377-3951

9827 N Nevada St
Spokane, WA 99218
Phone (509) 468-7000

7411 N Nevada St
Spokane, WA 99208
Phone (509) 489-2273

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

9340 NE 76th St
Vancouver, WA 98662
Phone (360) 253-4912

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1437105244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 NE 76TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623721",
            "telephone_number": "360-253-4912",
            "fax_number": "360-253-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 E 8TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168556",
            "telephone_number": "509-924-6161",
            "fax_number": "509-924-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELBERT",
        "first_name": "ANTHONY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "TY3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.