Nancy Anderson, PHD
Individual provider Active NPI Psychologist · Norwich, CT
NPI 1164599288 · NPPES record last updated Jan 29, 2018
Key facts
- NPI
- 1164599288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2662 (CT)
- Practice address
- 326 Washington St
William W Backus Hospital
Norwich, CT 06360 - Phone
- (860) 889-8331
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002662 | CT | MD | Nurse Practitioner |
Interoperability endpoints
- nancy.anderson@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 002662 | CT | |
| Psychologist | 103T00000X | 2662 | CT | Yes |
Addresses
Primary practice location
326 Washington St
William W Backus Hospital
Norwich, CT 06360
Mailing address
326 Washington St
William W Backus Hospital
Norwich, CT 06360
Phone (860) 889-8331
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.