Active NPI
Terrence (Terry) H Anderson, M.S.,PSY.D,LMFT
- Marriage & Family Therapist
- Tustin, CA
National Provider Identifier
1518225226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 50616
- Practice address
- 228 W Main St
Tustin, CA 92780-4320 - Phone
- (714) 457-4543
- NPI assigned
- May 1, 2012
- Last updated
- Sep 18, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 50616 | CA | Primary |
Addresses
Primary practice location
228 W Main St
Tustin, CA 92780-4320
Mailing address
18452 Durfee Cir
Villa Park, CA 92861-4520
Phone (714) 997-9262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50616 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1518225226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18452 DURFEE CIR",
"city": "VILLA PARK",
"state": "CA",
"postal_code": "928614520",
"telephone_number": "714-997-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 W MAIN ST",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927804320",
"telephone_number": "714-457-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "TERRENCE (TERRY)",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.S.,PSY.D,LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-01",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.