Andrew Potter, PH.D., Psychologist, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ANDREW POTTER, PH.D., PSYCHOLOGIST, INC.

Practice address

1460 Maria LN Ste 300
Walnut Creek, CA 94596-5314

Phone

(617) 816-1818

NPI assigned

Nov 29, 2020

Organization subpart

No

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

Authorized official

Name

Andrew Potter, PH.D.NPI 1205430444

Title

Psychologist

Phone

(617) 816-1818

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Potter, PH.D.

  • Psychologist
  • Walnut Creek, CA
  • NPI 1205430444
  NPD Authorized official

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606608000000",
    "number": "1043814288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 SARITA CT",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641527",
            "telephone_number": "617-816-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MARIA LN STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965314",
            "telephone_number": "617-816-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW POTTER, PH.D., PSYCHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-816-1818",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Andes
• Alina VI Andrade
• Alondra Arizbeth Andrade
• Mary Andre, P.T.
• Pamela Lauren Andres-Elias, M.S.
• Darnell Andrews
• Derek Andrucko
• Tyler Scott Anglim
• Alisa Marie Anhold-Tung, LMFT
• Radhika Sharma Annadata, MD

• Psychologist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.