Active NPI
Laura Anderson, PHD
- Counseling Psychologist
- Baltimore, MD
National Provider Identifier
1649554601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 04337
- Practice address
- 701 W Pratt St FL 2
Univ of Maryland Adult Outpatient Psychiatry
Baltimore, MD 21201-1023 - Phone
- (410) 328-6018
- Fax
- (410) 328-6391
- NPI assigned
- Oct 7, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 04337 | MD | Primary |
| Counseling Psychologist | 103TC1900X | 18441 | NY |
Addresses
Primary practice location
701 W Pratt St FL 2
Univ of Maryland Adult Outpatient Psychiatry
Baltimore, MD 21201-1023
Mailing address
701 W Pratt St FL 2
Univ of Maryland Adult Outpatient Psychiatry
Baltimore, MD 21201-1023
Phone (410) 328-6018
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04337 | MD | MD | Counseling Psychologist |
| 18441 | NY | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1649554601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W PRATT ST FL 2",
"address_2": "UNIV OF MARYLAND ADULT OUTPATIENT PSYCHIATRY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011023",
"telephone_number": "410-328-6018",
"fax_number": "410-328-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W PRATT ST FL 2",
"address_2": "UNIV OF MARYLAND ADULT OUTPATIENT PSYCHIATRY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011023",
"telephone_number": "410-328-6018",
"fax_number": "410-328-6391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-07",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "04337",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "18441",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.