Active NPI
Adrianne Michelle Altman, PH.D.
- Clinical Psychologist
- Mill Creek, WA
National Provider Identifier
1730365776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60134952
- Practice address
- 15408 Main St
Suite 107
Mill Creek, WA 98012-9024 - Phone
- (425) 224-5458
- Fax
- (425) 582-7517
- NPI assigned
- Jan 19, 2008
- Last updated
- Mar 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY21355 | CA | |
| Clinical Psychologist | 103TC0700X | PY60134952 | WA | Primary |
Addresses
Primary practice location
15408 Main St
Suite 107
Mill Creek, WA 98012-9024
Mailing address
15408 Main St
Suite 107
Mill Creek, WA 98012-9024
Phone (425) 224-5458
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 |
|---|---|---|---|
| PSY21355 | CA | MD | Psychologist |
| PY60134952 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1730365776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15408 MAIN ST",
"address_2": "SUITE 107",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980129024",
"telephone_number": "425-224-5458",
"fax_number": "425-582-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15408 MAIN ST",
"address_2": "SUITE 107",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980129024",
"telephone_number": "425-224-5458",
"fax_number": "425-582-7517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "ADRIANNE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-19",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY21355",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60134952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Creek, WA
- Albertsons LLC (Safeway Pharmacy #1413)
- Alchemy Therapy & Counseling
- Philip M. Alex, PH.D.
- Alexander Enterprises, LLC
- Michelle R Almanza
- Amazing Life Chiropractic & Wellness PLLC (Amazing Life Chiropractic & Wellness)
- Juditheve Lamosao Amby, PTA
- Mark T Anderson, MD
- Claudia J. Andrews, MSPA, CCC-SLP
- Arabella Lynn Andros, MS LMFTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.