Adam W Anderson, PSYCH ASSISTANT

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

6250 N Millbrook Ave
Fresno, CA 93710-5620

Phone

(559) 431-4787

NPI assigned

Dec 29, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1255970356
  NPD
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1023657129
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1265072060
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1447899786
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1457990541
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1801436704
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1851930952
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1942849013
  NPD (past)

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1639948730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 W LEIGHSON AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932917860",
            "telephone_number": "559-306-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105620",
            "telephone_number": "559-431-4787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4862 E Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032873",
            "country_code": "US",
            "telephone_number": "559-252-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E Warner Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937103711",
            "country_code": "US",
            "telephone_number": "559-252-1613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 E Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937046238",
            "country_code": "US",
            "telephone_number": "559-252-1738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3894 E Gettysburg Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937260901",
            "country_code": "US",
            "telephone_number": "559-454-0822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3267 W Rialto Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937224138",
            "country_code": "US",
            "telephone_number": "559-244-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2216 E Cambridge Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032123",
            "country_code": "US",
            "telephone_number": "559-252-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6224 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937239556",
            "country_code": "US",
            "telephone_number": "559-277-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ADAM",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PSYCH ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-29",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Brian Anders
• Mark T Anders, PT
• Donovon Andersen
• Lauri Nanette Andersen, LMFT
• Nicholas Andersen
• Alexa Anderson
• Arthur Robert Anderson, M.ED., BCBA
• Brian R. Anderson, LCSW
• Carol A Anderson, LMFT
• Carrie Cathleen Anderson, LMFT

• All providers in Fresno, CA
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.