John Alden Anderson, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

1211 Issued in CT

Practice address

621 Chapel St # B
New Haven, CT 06511-6919

Phone

(203) 773-0487

NPI assigned

Dec 11, 2006

Last updated

Sep 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1710047782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CHAPEL ST # B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116919",
            "telephone_number": "203-773-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CHAPEL ST # B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116919",
            "telephone_number": "203-773-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "ALDEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CT",
            "license": "1211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prasanna J Ananth, MD, MPH
• Carl Eric Anderson, D.D.S
• Christofer Brian Anderson, MD
• Christopher Anderson
• Diana Anderson, LPC
• Nancy Anderson
• Nicolette Anderson, PA-C
• Nientara Anderson, MD
• Nycaine Anderson, MD
• Sharon J Anderson, MD

• Cognitive & Behavioral Psychologist in New Haven, CT
• Providers in New Haven, CT by specialty
• Cognitive & Behavioral Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.