MR. PAUL A. ANDERSON (NPI# 1417916552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417916552 |
| Entity Type | Individual |
| Full Name | MR. PAUL A. ANDERSON |
| Credential | M.C. |
| Practice Address |
10207 Ne 183rd St Bothell WA 98011 |
| Mailing Address |
10207 Ne 183rd Street Bothell WA 98011 |
| Practice Telephone | 4254552960 |
| Practice Fax Number | 4254892047 |
| Mailing Telephone | 4254552960 |
| Mailing Fax Number | 4254892047 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2014-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH00005886 | WA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LF00001503 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184188146 | Paul Taylor Anderson | Specialist/Technologist | 11672 Stockmeyer Dr, El Paso, TX 79936-0813 | 2019-01-24 |
| 1184096976 | Paul David Anderson Jr. | Home Health Aide | 118 Morell Dr, Simpsonville, SC 29681-4677 | 2015-10-20 |
| 1083850671 | Paul S Anderson | Counselor | 220 Vinita Rd, Nowata, OK 74048-9443 | 2009-01-02 |
| 1063663540 | Paul D. Anderson | Physical Therapist | 75 W Main Street Ct Ste 100, Alpine, UT 84004-5602 | 2008-10-02 |
| 1528250396 | Paul S Anderson | Anesthesiology | 128 Peachtree Ln Ste B, Advance, NC 27006-6783 | 2007-08-15 |
| 1871783050 | Paul Leroy Anderson Jr. | Dentist | 882 Lancaster Ave, Devon, PA 19333 | 2007-07-25 |
| 1508065939 | Paul Edward Anderson | General Practice | Harboldt Rd, Altamont, TN 37301 | 2007-07-16 |
| 1629113303 | Paul Stanley Anderson | Naturopath | 2150 N. 107th St, Suite 400, Seattle, WA 98133-9009 | 2007-02-21 |
| 1043351380 | Paul Dederick Anderson | Internal Medicine | 11272 Merritt St # F, Castroville, CA 95012-3422 | 2007-02-09 |
| 1659449098 | Paul Daniel Anderson | Dentist | 4778 Banning Ave, White Bear Lake, MN 55110-3264 | 2006-12-02 |
| Street Address |
10207 NE 183RD ST |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137986 | Jamie L Hauglid | Marriage & Family Therapist | 19201 120th Ave Ne, Bothell, WA 98011-9517 | 2019-04-12 |
| 1174927917 | Shellie Gravitt | Marriage & Family Therapist | 22125 17th Ave Se Ste 101, Bothell, WA 98021-7409 | 2014-10-21 |
| 1992113781 | Kourtney Marie Deboer | Marriage & Family Therapist | 1225 183rd St Se, Apt A102, Bothell, WA 98012-7495 | 2014-07-24 |
| 1063750776 | Andrew Paul Daniel Engstrom | Marriage & Family Therapist | 10116 Ne 183rd St, Bothell, WA 98011-3416 | 2013-01-30 |
| 1295088623 | Christina Barrows | Marriage & Family Therapist | 19125 N Creek Pkwy Ste 120, Bothell, WA 98011-8000 | 2012-10-23 |
| 1144501115 | Allegra Hollenbeck | Marriage & Family Therapist | 19803 108th Ave Ne, Bothell, WA 98011-2414 | 2011-09-06 |
| 1619262508 | Little Bird Child & Family Therapy | Marriage & Family Therapist | 23634 Bothell Everett Hwy, Suite C, Bothell, WA 98021-9322 | 2011-06-18 |
| 1053542621 | Shari Short | Marriage & Family Therapist | 10116 Main St Ste B3, Bothell, WA 98011-3449 | 2009-07-30 |
| 1467641621 | Michelle Ann Lechnyr-henningsen | Marriage & Family Therapist | 20526 29th Ave Se, Bothell, WA 98012-1435 | 2007-10-23 |
| 1831392497 | Debbie Anne Bayer | Marriage & Family Therapist | 9333 Ne 176th St, Bothell, WA 98011-3619 | 2007-06-08 |
| Find all providers in BOTHELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.