Active NPI
David Franklin Bachman, PSYD
- Clinical Psychologist
- Richland, WA
National Provider Identifier
1871558080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00003190
- Practice address
- 719 Jadwin Ave
Richland, WA 99352-4217 - Phone
- (509) 554-4675
- Fax
- (509) 396-9653
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00003190 | WA | Primary |
Addresses
Primary practice location
719 Jadwin Ave
Richland, WA 99352-4217
Mailing address
PO Box 1511
Richland, WA 99352-1511
Phone (509) 554-4675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7089816 | Medicaid | WA |
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 |
|---|---|---|---|
| PY00003190 | WA | MD | Clinical Psychologist |
| 1588 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David W Agnor PHD PC Dba Senior Connections | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1356652044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1871558080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1511",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993521511",
"telephone_number": "509-554-4675",
"fax_number": "509-396-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 JADWIN AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524217",
"telephone_number": "509-554-4675",
"fax_number": "509-396-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMAN",
"first_name": "DAVID",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00003190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7089816",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.