Susan Joan Anderson, PSY.D.
Individual provider Active NPI Psychologist · Overland Park, KS
NPI 1285861948 · NPPES record last updated Aug 26, 2014
Key facts
- NPI
- 1285861948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1767 (KS)
- Practice address
- 7501 College Blvd
Ste 250
Overland Park, KS 66210 - Phone
- (913) 451-8550
- Fax
- (913) 469-5266
- NPI assigned
- Jun 19, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Overland Park, KS 66204
Phone (913) 353-5993
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110111000905 | KS | Practitioner - Clinical Psychologist | 7911196605 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1767 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan J. Anderson, Psy.D., PA | Psychologist | Current |
Accepting new patients |
Locations
7501 College Blvd
Ste 250
Overland Park, KS 66210
Phone (913) 451-8550
3965 W 83rd St
Prairie Vlg, KS 66208
Phone (913) 258-5322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1767 | KS | Yes |
Addresses
Primary practice location
7501 College Blvd
Ste 250
Overland Park, KS 66210
Mailing address
7501 College Blvd
Ste 250
Overland Park, KS 66210
Phone (913) 451-8550
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.