Active NPI
Carmen Anderson, PSYD, LP
- Clinical Psychologist
- Mission Viejo, CA
National Provider Identifier
1437465713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23240
- Practice address
- 27401 Los Altos Ste 120
Mission Viejo, CA 92691-8580 - Phone
- (562) 431-8822
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 23240 | CA | Primary |
Addresses
Primary practice location
27401 Los Altos Ste 120
Mission Viejo, CA 92691-8580
Mailing address
27401 Los Altos Ste 120
Mission Viejo, CA 92691-8580
Other practice location 1
4505 Las Virgenes Rd
217
Calabasas, CA 91302-1956
Phone (310) 430-2672
Other names 1
- Carmen R Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23240 | CA | MD | Psychologist |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1437465713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27401 LOS ALTOS STE 120",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926918580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27401 LOS ALTOS STE 120",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926918580",
"telephone_number": "562-431-8822"
}
],
"practiceLocations": [
{
"address_1": "4505 Las Virgenes Rd",
"address_2": "217",
"address_purpose": "LOCATION",
"city": "Calabasas",
"state": "CA",
"postal_code": "913021956",
"country_code": "US",
"telephone_number": "310-430-2672",
"fax_number": "818-878-0102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "CARMEN",
"name_prefix": "Dr.",
"credential": "PSYD, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "23240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "ANDERSON",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.