Richard M Anderson, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PSY000533 Issued in GA

Practice address

21 Windsor on the Marsh
Savannah, GA 31419-2409

Phone

(912) 921-0464

Fax

(912) 921-0464

NPI assigned

Aug 30, 2012

Last updated

Aug 30, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1801145354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WINDSOR ON THE MARSH",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314192409",
            "telephone_number": "912-921-0464",
            "fax_number": "912-921-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WINDSOR ON THE MARSH",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314192409",
            "telephone_number": "912-921-0464",
            "fax_number": "912-921-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "PSY000533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00144988A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keri C Anderson, PHARM.D., BCPS
• Lindsay Neel Anderson, CRNA
• Meghan Riley Anderson, PHARM.D
• Nils Henrik Anderson, DDS
• Phylicia Anderson, MSW, LCSW
• Scott W Anderson, MD
• Suzanne M Anderson, MD
• Todd Howard Anderson, NP
• Andrea Liverman, LLC
• Joan Genevieve Andres, CNM

• Cognitive & Behavioral Psychologist in Savannah, GA
• Providers in Savannah, GA by specialty
• Cognitive & Behavioral Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.