Active NPI
Valerie Andersen, PSY.D.
- Clinical Psychologist
- Tampa, FL
National Provider Identifier
1760807945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9730
- Practice address
- 3012 N US Highway 301 Ste 1000
Tampa, FL 33619-2208 - Phone
- (813) 542-2001
- NPI assigned
- Feb 25, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9730 | FL | Primary |
Addresses
Primary practice location
3012 N US Highway 301 Ste 1000
Tampa, FL 33619-2208
Mailing address
4149 Ridgemoor Dr N
Palm Harbor, FL 34685-1153
Phone (321) 368-9646
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9730 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1760807945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4149 RIDGEMOOR DR N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346851153",
"telephone_number": "321-368-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 N US HIGHWAY 301 STE 1000",
"city": "TAMPA",
"state": "FL",
"postal_code": "336192208",
"telephone_number": "813-542-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "VALERIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-25",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "9730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
- Angela Andersen, MS, CCC-SLP
- Bailey Kamin Andersen, M.S.
- Bethany Burns Andersen, P.T.
- Jody Carl Andersen, ATC, PT
- Philip H Andersen, MD
- Theresa Lynn Anderson Bennati, APRN
- Erin Anderson Wells, PH.D.
- Vanessa Ileann Anderson-Alvarez, BS, BCABA
- Kaylene Renee Anderson-Smith, ARNP
- Patricia Anderson-Wexler, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.