Active NPI
Robert Anderson
- Psychiatry Physician
- Everett, WA
National Provider Identifier
1740486570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD0009006
- Practice address
- 918 Madison St
Everett, WA 98203-4542 - Phone
- (425) 355-8668
- Fax
- (425) 347-4188
- NPI assigned
- Jun 27, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD0009006 | WA | Primary |
Addresses
Primary practice location
918 Madison St
Everett, WA 98203-4542
Mailing address
918 Madison St
Everett, WA 98203-4542
Phone (425) 355-8668
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0009006 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeways | Current | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients |
Locations
5801 23rd Dr W
Ste 104
Everett, WA 98203
Phone (425) 420-4104
8223 Broadway
Everett, WA 98203
Phone (425) 355-8668
918 Madison St
Everett, WA 98203
Phone (425) 335-8668
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Everett, WA
- NPI 1073589560
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740486570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 MADISON ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982034542",
"telephone_number": "425-355-8668",
"fax_number": "425-347-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 MADISON ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982034542",
"telephone_number": "425-355-8668",
"fax_number": "425-347-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD0009006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.