Andrew E Pearson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27490 Issued in CA

Practice address

2455 Bennett Valley Rd
Ste B208
Santa Rosa, CA 95404-5667

Phone

(707) 477-6594

NPI assigned

Aug 28, 2015

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

Enrolled in CA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Beyond Psychotherapy California PC

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1750253696
  NPD (past)
• Performance Psychology Center

  • Mental Health Counselor
  • Santa Rosa, CA
  • NPI 1982485413
  NPD (past)

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1831566546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 BENNETT VALLEY RD",
            "address_2": "STE B208",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045667",
            "telephone_number": "707-477-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 BENNETT VALLEY RD",
            "address_2": "STE B208",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045667",
            "telephone_number": "707-477-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ANDREW",
        "middle_name": "E",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Beth Pazera, DC
• Pcos Nutrition & Lactation Services
• Stephanie Peacock, DC
• Jeannette Elizabeht Pearce, MS, MFT
• Katherine Anne Pearlstein
• Clare Chatland Pearson, M.D.
• Madison Pearson
• Darlene Renee Peck, NP, MSN
• Monty Peck
• Rebecca Alayne Pecoraro, RN

• Clinical Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.