Virginia Marguerite Anderson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 4706 Issued in CA

Practice address

19 Irving Ave
Atherton, CA 94027-2007

Phone

(650) 323-4494

NPI assigned

Jan 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1053616136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 IRVING AVE",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940272007",
            "telephone_number": "650-323-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 IRVING AVE",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940272007",
            "telephone_number": "650-323-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VIRGINIA",
        "middle_name": "MARGUERITE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 4706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isha Abdullah
• Acute Allergy Asthma and Immunology of Atherton, Inc.
• Timothy Anderson, M.D.
• Andrew B Newman M D Apc
• Atherton Plastic Surgery Center
• Katarina Rose Azzimonti, BS
• B. Douglas Lewis, M.D., a Professional Corporation
• John Barman, MPT

• Psychologist in Atherton, CA
• Providers in Atherton, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.