Deborah Lynne Anderson, PSY.D, LP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP4563 Issued in MN

Practice address

15 Groveland Ter
Suite 302
Minneapolis, MN 55403-1154

Phone

(612) 374-2400

Fax

(612) 374-2401

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Anderson Psychological Services, L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1871619577
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407938723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GROVELAND TER",
            "address_2": "SUITE 302",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031154",
            "telephone_number": "612-374-2400",
            "fax_number": "612-374-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GROVELAND TER",
            "address_2": "SUITE 302",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031154",
            "telephone_number": "612-374-2400",
            "fax_number": "612-374-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DEBORAH",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP4563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34008AN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "61-90438",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "119099",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7903877",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Joel Anderson, MD
• Danielle Jeanine Anderson
• David Anderson, RN
• David C Anderson, MD
• Dawn Evon Anderson, D.O
• Diane Anderson, O.T.
• Diane Ruth Anderson, LADC
• Dietrich Anderson
• Elizabeth Susan Anderson, AUD
• Emily Jo Anderson

• Counseling Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.