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

Dr. Rodolfo Anibal Trivisonno, MD

Individual provider Psychiatry Physician · NPI 1578610721

Dr. Rodolfo Anibal Trivisonno, MD is a Psychiatry in Lake Stevens, Washington. Qualified in 1986, 40 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
40
Licensed in
WA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

319 119th Dr SE
Lake Stevens, WA 98258-7717
Phone: (425) 948-7893
Fax: (425) 948-7943
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD00034739 (WA)

Record details

NPI number1578610721
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 3, 2007
Last updated in NPPESJanuary 9, 2024
Certification dateFebruary 15, 2020

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesGERIATRIC PSYCHIATRY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services