Vivien Keil Anderson, PHD – Clinical Psychologist

Key facts

NPI: 1417280504
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: PSY22347 (CA)
Practice address: 477 N El Camino Real Ste D306
Encinitas, CA 92024-1370
Phone: (858) 966-8461
NPI assigned: Sep 8, 2009
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Rady Children'S Outpatient Psychaitry Psychiatric Hospital · Oceanside, CA · NPI 1023195070

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
PSY22347	CA	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
Rady Children'S Outpatient Psychaitry		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	PSY22347	CA	Yes

Addresses

Primary practice location

477 N El Camino Real Ste D306
Encinitas, CA 92024-1370

Mailing address

3020 Childrens Way # Mc5170
San Diego, CA 92123-4223
Phone (585) 576-1700

Other practice location 1

3020 Childrens Way
San Diego, CA 92123-4223
Phone (858) 576-1700

Other names

Dr. Vivien Keil Professional name

Other providers in Encinitas, CA

Christen Marie Anderson, MD
Lindsey Elizabeth Anderson, DO
Luke Patrick Anderson, DPT, PT
Mary B Anderson, D.C.
Ryan Christian Anderson, OT C
Andrea'S Midwifery Inc
Steven R Andree, M.D.
Andres Garcia
Andrew Specht Chiropractic Professional Corporation
Michele Murphy Andrew

All providers in Encinitas, CA · Clinical Psychologist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.