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SHANE M ANDERSON PHD
NPI 1639461635
Pharmacist - Psychiatric in Yakima, WA

Active since May 09, 2011
402 S 4TH AVE, YAKIMA, WA 98902(509) 575-4084 Get Directions Write a Review

NPPES record last updated: July 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shane M Anderson Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE M ANDERSON PHD (NPI 1639461635) is an individual psychiatric provider in Yakima, Washington, licensed in Washington (PH60215206) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1639461635
Entity TypeIndividualMale
Primary Taxonomy1835P1300X
Provider Legal NameSHANE M ANDERSONCredential: PHD
Location Address402 S 4TH AVEYakima, WA 98902-3546
Mailing AddressPo Box 959Yakima, WA 98907-0959 · (509) 575-4084
Phone(509) 575-4084
Sole ProprietorYes
Enumeration DateMay 9, 2011
Last NPPES UpdateJuly 1, 2011
✔ NPI 1639461635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · PsychiatricPharmacy Service Providers
Taxonomy Code1835P1300X
License✔ Licensed in WA · PH60215206
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
402 S 4TH AVE, Yakima, WA 98902
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN SULLIVAN
Counselor (Mental Health)
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-3874
LESLIE KINCADE
Counselor
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
ALLISON LANGSTON
Nurse's Aide
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
BRITNEY JEAN SKILLMAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 317-2613
NATALIA RAMOS
Case Manager/Care Coordinator
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
NICOLE A TATUM
Social Worker (Clinical)
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
KRYSTAL LESLIE WEBER DNP
Nurse Practitioner (Psychiatric/Mental Health)
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
TRICIA L JENNINGS
Counselor (Addiction (Substance Use Disorder))
402 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Anderson's NPI number?

The NPI number for Shane Anderson is 1639461635. It was assigned to this individual provider in the NPPES registry on May 9, 2011.

Where is Shane Anderson located?

Shane Anderson practices at 402 S 4th Ave, Yakima, WA 98902. The listed phone number is (509) 575-4084.

What is Shane Anderson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Psychiatric, with taxonomy code 1835P1300X.

When was this NPI record last updated?

The NPPES record for Shane Anderson was last updated on July 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.