Individual provider Active NPI

Leeanne Anderson

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbury, NJ
National Provider Identifier
1225650302
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01032100 Issued in NJ
Practice address
45 Euclid St # 200
Woodbury, NJ 08096-4631
Phone
(566) 284-5048
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01032100 NJ Primary

Addresses

Primary practice location

45 Euclid St # 200
Woodbury, NJ 08096-4631

Mailing address

45 Euclid St # 200
Woodbury, NJ 08096-4631
Phone (856) 628-4504

Other names 1

  • Leeanne McCauley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610000093 NJ Practitioner - Nurse Practitioner 9638590128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kennedy Medical Group Practice, P.C.Group PAC ID 2860616877, 417 clinicians

Practice addresses (Care Compare)

443 Laurel Oak Rd
Voorhees, NJ 08043-4419
Phone (844) 542-2273

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice, P.C. CurrentSince Apr 15, 2023 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Apr 15, 2023 Accepting new patients
Garden State Psychiatric Services, LLC PastSince May 17, 2020 Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

188 Fries Mill Rd
Ste M3
Turnersville, NJ 08012
Phone (800) 434-6070

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

443 Laurel Oak Rd
Voorhees, NJ 08043
Phone (215) 456-4985

190 N Evergreen Ave
Ste 202
Woodbury, NJ 08096
Phone (856) 628-4504

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1225650302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 EUCLID ST # 200",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964631",
            "telephone_number": "856-628-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 EUCLID ST # 200",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964631",
            "telephone_number": "566-284-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LEEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01032100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEEANNE",
            "last_name": "MCCAULEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.