Active NPI
Joyce Anderson, ED.D
- School Psychologist
- Watertown, SD
National Provider Identifier
1083160717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 33929-6
- Practice address
- 1124 Konrady Dr. NE
Watertown, SD 57201 - Phone
- (605) 868-1552
- NPI assigned
- Sep 1, 2016
- Last updated
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 33929-6 | SD | Primary |
Addresses
Primary practice location
1124 Konrady Dr. NE
Watertown, SD 57201
Mailing address
1124 Konrady Dr. NE
Watertown, SD 57201
Phone (605) 868-1552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33929-6 | Other | SD | STATE OF SOUTH DAKOTA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33929-6 | SD | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1083160717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 KONRADY DR. NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "57201",
"telephone_number": "605-868-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 KONRADY DR. NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "57201",
"telephone_number": "605-868-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JOYCE",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SD",
"license": "33929-6",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF SOUTH DAKOTA",
"identifier": "33929-6",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.