Individual provider Active NPI

Robert Anderson

  • Psychiatry Physician
  • Everett, WA
National Provider Identifier
1740486570
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD0009006 Issued in WA
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

Updated by the provider on Jul 8, 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 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0009006WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeways CurrentSince Jun 26, 2007 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.

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.

Verify at the official NPI Registry.