Paul Dean Anderson, D.O.
Individual provider Active NPI Psychiatry Physician · Spencer, IA
NPI 1215924006 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1215924006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 01929 (IA)
- Practice address
- 1200 1St Ave E
Suite a
Spencer, IA 51301-4342 - Phone
- (712) 262-1808
- Fax
- (712) 262-5532
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01929 | IA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01929 | IA | Yes |
Addresses
Primary practice location
1200 1St Ave E
Suite a
Spencer, IA 51301-4342
Mailing address
1200 1St Ave E
Suite a
Spencer, IA 51301-4342
Phone (712) 262-1808
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015115 | Medicaid | IA |
Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.