Active NPI
Thomas Lee Anderson, PHD
- Clinical Psychologist
- Fort Jackson, SC
National Provider Identifier
1104892330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 386
- Practice address
- 10000 Hampton Parkway
Office of the Command Psychologist
Ft. Jackson, SC 20207 - Phone
- (803) 751-8794
- NPI assigned
- Feb 27, 2006
- Last updated
- Jun 10, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 386 | SC | Primary |
Addresses
Primary practice location
10000 Hampton Parkway
Office of the Command Psychologist
Ft. Jackson, SC 20207
Mailing address
10000 Hampton Parkway
Office of the Command Psychologist
Ft. Jackson, SC 20207
Phone (803) 751-8794
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1104892330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 HAMPTON PARKWAY",
"address_2": "OFFICE OF THE COMMAND PSYCHOLOGIST",
"city": "FT. JACKSON",
"state": "SC",
"postal_code": "20207",
"telephone_number": "803-751-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 HAMPTON PARKWAY",
"address_2": "OFFICE OF THE COMMAND PSYCHOLOGIST",
"city": "FT. JACKSON",
"state": "SC",
"postal_code": "20207",
"telephone_number": "803-751-8794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "THOMAS",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Jackson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.