TRACY ANDERMAN – NPI #1184485922
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

TRACY ANDERMAN is a residential treatment facility located in BEND, OR. NPPES has assigned the NPI number 1184485922 to TRACY ANDERMAN on January 18, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRACY ANDERMAN below.

NPI Profile for
TRACY ANDERMAN

NPI Number
1184485922
Enumeration Date

(more than 2 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TRACY ANDERMAN
Primary location
61850 DOBBIN RD
BEND, OR 97702-9536
Phone: (541) 389-1985 Fax:
Mailing address
974 NW YOSEMITE DR
BEND, OR 97703-6722
Phone: (541) 610-8410 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jan 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.