Active NPI
Robert Marshall Newell, PH.D.
- Psychologist
- Yakima, WA
National Provider Identifier
1629341789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00002931
- Practice address
- 1701 Creekside Loop Ste 106
Yakima, WA 98902-4874 - Phone
- (509) 910-0329
- Fax
- (509) 696-3760
- NPI assigned
- Feb 20, 2012
- Last updated
- Feb 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | PY00002931 | WA | Primary |
Addresses
Primary practice location
1701 Creekside Loop Ste 106
Yakima, WA 98902-4874
Mailing address
1701 Creekside Loop Ste 106
Yakima, WA 98902-4874
Phone (509) 910-0329
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002931 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1629341789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 CREEKSIDE LOOP STE 106",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989024874",
"telephone_number": "509-910-0329",
"fax_number": "509-696-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CREEKSIDE LOOP STE 106",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989024874",
"telephone_number": "509-910-0329",
"fax_number": "509-696-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWELL",
"first_name": "ROBERT",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-20",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00002931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.