Ashton Anderson, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3636 Issued in NC

Practice address

219 Racine Dr Ste B
Wilmington, NC 28403-8828

Phone

(910) 791-6277

Fax

(910) 791-6277

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lecci Psychological Services, PLLCGroup PAC ID 3476566324, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

45.7 of 100Reported as group

Quality

54.91

Improvement activities

0

Cost

79.11

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lecci Psychological Services, PLLC

  • Psychologist
  • Wilmington, NC
  • NPI 1811976426

  NC

  Medicare reassignment Care Compare group NPD
• Neuropsychological Services of Virginia, Inc.

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1487668448

  Clinical

  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1295914356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 RACINE DR STE B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038828",
            "telephone_number": "910-791-6277",
            "fax_number": "910-791-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 RACINE DR STE B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038828",
            "telephone_number": "910-791-6277",
            "fax_number": "910-791-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ASHTON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "3636",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Renae Anceravage, CRNA
• Anchored Therapy Services, PLLC
• Kiana Andarowski
• Caitlyn Andersen, NCC, LCMHC-A
• Alicia Marie Anderson
• Glen Wayne Anderson Jr., M.A., L.P.A.
• Jennifer Theis Anderson, M.A., L.P.A.
• Kaitlyn Elizabeth Anderson, AGNP
• Lauren Michelle Anderson, DO
• Mary Jean Anderson, MS CCC-SLP

• All providers in Wilmington, NC
• Clinical Neuropsychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.