Active NPI
Janet Louise Anderson, ED.D.
- Psychologist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS00987
- Practice address
- 1 Hoppin St Ste 204
Providence, RI 02903-4141 - Phone
- (401) 444-8945
- Fax
- (401) 444-8742
- NPI assigned
- Feb 11, 2009
- Last updated
- Jul 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS00987 | RI | Primary |
| Psychologist | 103T00000X | 4841 | MA |
Addresses
Primary practice location
1 Hoppin St Ste 204
Providence, RI 02903-4141
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Harvard Medical School, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hoppin St
Suite 304
Providence, RI 02903-4141
Phone (401) 444-4612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Psychologist | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Rhode Island Hospital | Psychologist | Current | Accepting new patients |
| Rhode Island Hospital | Current | Accepting new patients | |
| Child and Family Psychological Services, PLLC | Psychologist | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
1 Hoppin St
Ste 204
Providence, RI 02903
Phone (401) 444-8945
1 Hoppin St
Ste 304
Providence, RI 02903
Phone (401) 444-4612
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Providence, RI 02903
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Brown Health Medical Group
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
Psychologist
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
dba LifeStance Health
- Psychologist
- Norwood, MA
- NPI 1912987181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1619116993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOPPIN ST STE 204",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034141",
"telephone_number": "401-444-8945",
"fax_number": "401-444-8742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JANET",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-11",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PS00987",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.