Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Robert Fasman, PHD

Individual provider Clinical Psychologist · NPI 1184973810

Dr. Robert Fasman, PHD is a Clinical Psychologist in Vancouver, Washington. Qualified in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon, Virginia and Washington.

Years since qualifying
18
Licensed in
OR, VA, WA
In the registry since
2012
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4610 NE 77th Ave Ste 104
Vancouver, WA 98662-6790
Phone: (360) 587-2500
Fax: (360) 587-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY60305193 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810004294 (VA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2320 (OR)

Record details

NPI number1184973810
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 10, 2012
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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