Courtney Anderson, PSYD, LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

35SI00592700 Issued in NJ

Legal business name

COURTNEY ANDERSON, PSYD, LLC

Practice address

103 Maple Ave Ste 102
Red Bank, NJ 07701-1715

Phone

(732) 610-4953

NPI assigned

Apr 22, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Anderson, PSY.D.NPI 1477965457

Title

Managing Member

Phone

(908) 902-5918

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Anderson, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Red Bank, NJ
  • NPI 1477965457
  NPD Authorized official

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1467949735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAPLE AVE STE 102",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011715",
            "telephone_number": "732-261-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAPLE AVE STE 102",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011715",
            "telephone_number": "732-610-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY ANDERSON, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-22",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-902-5918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35SI00592700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Maria Correia, PMHNP
• Jennifer Cory-Morrongiello, MS, LCSW
• Ronald P Costa, MD
• Kelley Coulter
• Counseling for Healing and Change
• Barbara E Courtney, M.D.
• Callie Mae Covino, RN,MSN,APRN,FNP-BC
• Michelle Cowan, APN
• CPC Behavioral Healthcare, Inc
• CPC Behavioral Healthcare, Inc

• Clinical Child & Adolescent Psychologist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Clinical Child & Adolescent Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.