Mary K Anderson PHD PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6301008873 Issued in MI

Legal business name

MARY K ANDERSON PHD PLLC

Practice address

111 N 1St St
Ste 1
Ann Arbor, MI 48104-1397

Phone

(734) 327-5934

NPI assigned

Jan 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Kathryn Anderson, PHD

Title

Psychologist/Manager

Phone

(734) 327-5934

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1003094178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 1ST ST",
            "address_2": "STE 1",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041397",
            "telephone_number": "734-327-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 1ST ST",
            "address_2": "STE 1",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041397",
            "telephone_number": "734-327-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K ANDERSON PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/MANAGER",
        "authorized_official_telephone_number": "734-327-5934",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6301008873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Marie Martis, M.S., L.L.P.
• Mahir Maruf, MD
• Neena Ishwari Marupudi, M.D., M.S.
• Monica Marvin, CGC
• Mary J Belongea
• Mary Kathryn Korte-Turnbull
• Mary Short-Ray D.O., P.C.
• Maryann Kruse Bens, PLLC
• David A Marzano, MD
• Megan Marie Marzec

• Adult Mental Health Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.