Andrea Elizabeth Anderson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PENDING Issued in MN

Practice address

2383 University Ave W Ste 200
U.S. Bank Building, Second Floor
Saint Paul, MN 55114-1603

Phone

(651) 644-4100

Fax

(651) 644-4885

NPI assigned

Sep 8, 2009

Sex

Female

Sole proprietor

No

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.

• Jessica Dresden PSYD LP LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mahtomedi, MN
  • NPI 1609421510

  MN

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2009.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1659604874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 UNIVERSITY AVE W STE 200",
            "address_2": "U.S. BANK BUILDING, SECOND FLOOR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141603",
            "telephone_number": "651-644-4100",
            "fax_number": "651-644-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 UNIVERSITY AVE W STE 200",
            "address_2": "U.S. BANK BUILDING, SECOND FLOOR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141603",
            "telephone_number": "651-644-4100",
            "fax_number": "651-644-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Lynn Anderson, PA-C
• Alaina Anderson, LMFT
• Alicia Marie Anderson
• Alyssa Marie Anderson, M.D.
• Alyssum Meryl Anderson, LMFT
• Angela Joyce Anderson, ANGELA ANDERSON
• Anthony Wyatt Anderson, MD
• Bethel Anderson, PHARMD
• Britney S Anderson, R.N.
• Carmen Jo Anderson, MS CCC SLP

• All providers in Saint Paul, MN
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.