Physician Compare National (NPI:1902122989)

HEALTHCARE PROVIDER: ROBIN M CARTER-VISSCHER PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902122989
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668762907
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160527001413
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARTER-VISSCHER
	Individual professional last name
Provider First Name	ROBIN
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4900 S MINNESOTA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	SIOUX FALLS
	Group Practice or individual's city
State	SD
	Group Practice or individual's state
Zip Code	571082813
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y