Anne Bearheart
Individual provider Active NPI Psychologist · Sonoma, CA
NPI 1679966360 · NPPES record last updated Mar 5, 2015
Key facts
- NPI
- 1679966360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY12734 (CA)
- Practice address
- 181 Andrieux St Ste 212
Sonoma, CA 95476-6920 - Phone
- (707) 935-2243
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12734 | CA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY12734 | CA | Yes |
Addresses
Primary practice location
181 Andrieux St Ste 212
Sonoma, CA 95476-6920
Mailing address
181 Andrieux St Ste 212
Sonoma, CA 95476-6920
Phone (707) 935-2243
Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.