Aida L Anders Psy D PA
Organization Active NPI Clinical Psychologist · Pembroke Pines, FL
NPI 1619048600 · NPPES record last updated May 23, 2016
Key facts
- NPI
- 1619048600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY6410 (FL)
- Legal business name
- AIDA L ANDERS PSY D PA
- Practice address
- 9000 Sheridan St Ste 98
Pembroke Pines, FL 33024-8802 - Phone
- (954) 632-2409
- Fax
- (954) 538-0075
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Aida L Anders, PSY.D.
- Title
- Psychologist
- Phone
- (954) 632-2409
Practitioners 1
-
Aida L Anders, PSY.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080414000672 | FL | Part B Supplier - Clinic/Group Practice | 4688751761 |
Receives reassigned benefits from 1 practitioner Practice locations: Pembroke Pines, FL |
National Provider Directory
Locations
9000 Sheridan St
Ste 98
Pembroke Pines, FL 33024
Phone (954) 632-2409
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | PY6410 | FL | Yes |
Addresses
Primary practice location
9000 Sheridan St Ste 98
Pembroke Pines, FL 33024-8802
Mailing address
9000 Sheridan St Ste 98
Pembroke Pines, FL 33024-8802
Phone (954) 632-2409
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73072 | Other | PIN FOR BCBS |
Other names
- Aida L Anders Psy D
Other providers in Pembroke Pines, FL
- Angelica Aguirre
- Maximo Raul Aguirre
- Adelaide Afua Agyepong
- Talha Ahmad
- Ahmad Khalil Ahmadi
- Natoya Aird-Williams
- Aire Performance, LLC
- Ajc Investments LLC.
- Shoji Aji
- Walif Aji
All providers in Pembroke Pines, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.