Ronald Carson Andersen

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6362010010 Issued in MI

Practice address

1286 S Linden Rd Ste B
Flint, MI 48532-3457

Phone

(810) 407-7403

NPI assigned

Aug 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1235961079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 ROSSWAY DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485061512",
            "telephone_number": "810-730-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 S LINDEN RD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323457",
            "telephone_number": "810-407-7403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5102 Rossway Dr",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485061512",
            "country_code": "US",
            "telephone_number": "810-730-8635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "RONALD",
        "middle_name": "CARSON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362010010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcie Amsdill, SLP
• Saarah Amuthan, D.D.S.
• Amy J Daros DO PC
• Christina Anagonye, MD, MBA
• Anas Salih MD PLLC
• Anderson Counseling Services of Michigan
• Anderson Hamo Chiropractic, PLC
• Anita Anderson
• Dana Warren Anderson, D.C.
• David William Anderson, LPC

• Clinical Psychologist in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.