Organization Active NPI

Robert G Patterson LLC

  • Psychologist
  • Aberdeen, SD
National Provider Identifier
1699816231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
149 Issued in SD
Legal business name
ROBERT G PATTERSON LLC
Practice address
405 8TH Ave NW
Suite 333
Aberdeen, SD 57401-2762
Phone
(605) 225-3622
Fax
(605) 229-2719
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Fae Schaffer
Title
Office Manager
Phone
(605) 225-3622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 149 SD Primary

Addresses

Primary practice location

405 8TH Ave NW
Suite 333
Aberdeen, SD 57401-2762

Mailing address

405 8TH Ave NW
Suite 333
Aberdeen, SD 57401-2762
Phone (605) 225-3622

Other identifiers 2

IdentifierTypeStateIssuer
4993775OtherSDBCBS
6550013MedicaidSD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699816231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 8TH AVE NW",
            "address_2": "SUITE 333",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012762",
            "telephone_number": "605-225-3622",
            "fax_number": "605-229-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 8TH AVE NW",
            "address_2": "SUITE 333",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012762",
            "telephone_number": "605-225-3622",
            "fax_number": "605-229-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G PATTERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "FAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-225-3622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "SD",
            "license": "149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4993775",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6550013",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.