Active NPI
Andrea N. R. Hartman, PSYD
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1790174209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60881065
- Practice address
- Seattle Children'S Hospital
4800 Sand Point Way NE, Ms Oa.5.154
Seattle, WA 98105 - Phone
- (206) 987-2164
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | PY60881065 | WA | Primary |
Addresses
Primary practice location
Seattle Children'S Hospital
4800 Sand Point Way NE, Ms Oa.5.154
Seattle, WA 98105
Mailing address
Seattle Children'S Hospital
4800 Sand Point Way NE, Ms Oa.5.154
Seattle, WA 98105
Phone (206) 987-2164
Other practice location 1
3250 Wilshire Blvd Fl 5
Los Angeles, CA 90010-1577
Phone (323) 361-3849
Other practice location 2
422 N Meridian St
V342
Newberg, OR 97132-2699
Phone (503) 869-6821
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60881065 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1790174209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SEATTLE CHILDREN'S HOSPITAL",
"address_2": "4800 SAND POINT WAY NE, MS OA.5.154",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-987-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SEATTLE CHILDREN'S HOSPITAL",
"address_2": "4800 SAND POINT WAY NE, MS OA.5.154",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-987-2164"
}
],
"practiceLocations": [
{
"address_1": "3250 Wilshire Blvd Fl 5",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900101577",
"country_code": "US",
"telephone_number": "323-361-3849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "422 N Meridian St",
"address_2": "V342",
"address_purpose": "LOCATION",
"city": "Newberg",
"state": "OR",
"postal_code": "971322699",
"country_code": "US",
"telephone_number": "503-869-6821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTMAN",
"first_name": "ANDREA",
"middle_name": "N. R.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-21",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60881065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.