Individual provider Active NPI

Anthony Andrew Bottone, MD

  • Psychiatry Physician
  • Spokane, WA
National Provider Identifier
1659330363
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5469 Issued in AK
Practice address
105 W 8TH Ave
Spokane, WA 99204-2302
Phone
(509) 474-6920
NPI assigned
Mar 21, 2006
Last updated
Dec 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5469 AK Primary

Addresses

Primary practice location

105 W 8TH Ave
Spokane, WA 99204-2302

Mailing address

910 N Washington St
Ste 209
Spokane, WA 99201-2202
Phone (509) 232-1145

Other identifiers 2

IdentifierTypeStateIssuer
0222360OtherWAL&I
AB32999OtherWAMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050708000536 WA Practitioner - Psychiatry 6800822115 Reassigns benefits to 1 organization
I20200623003518 CA Practitioner - PsychiatryPractitioner - Other (Physician) 6800822115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HLN Physicians IncGroup PAC ID 1052746559, 4 clinicians

Practice addresses (Care Compare)

104 W 5TH Ave
Spokane, WA 99204-4820
Phone (916) 669-1200

11249 Gold Country Blvd
Suite 130
Gold River, CA 95670-3009
Phone (916) 669-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5469AKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HLN Physicians Inc Psychiatry CurrentSince Mar 11, 2020 Accepting new patients
Behavioral Health Resources Past Accepting new patients
Uhs BH Telepsych FL, PLLC Psychiatry PastSince Sep 5, 2021 Accepting new patients

Locations

11249 Gold Country Blvd
Ste 130
Gold River, CA 95670
Phone (888) 880-8443

155 Cadillac Dr
Ste 110
Sacramento, CA 95825
Phone (888) 880-8443

3600 American River Dr
Ste 200
Sacramento, CA 95864
Phone (916) 669-1200

5065 Wooster Rd
Cincinnati, OH 45226

104 W 5th Ave
Spokane, WA 99204
Phone (509) 992-1888

Interoperability endpoints

  • Direct secure messaging: anthony.bottone.1@3548.direct.athenahealth.com

Organizations & group practices 3

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1659330363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N WASHINGTON ST",
            "address_2": "STE 209",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012202",
            "telephone_number": "509-232-1145",
            "fax_number": "509-232-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-474-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTONE",
        "first_name": "ANTHONY",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "5469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0222360",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "AB32999",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.