Craig Lyle Anderson, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6126 Issued in CO

Practice address

1330 Inverness Dr Ste 400
Colorado Springs, CO 80910-3739

Phone

(970) 310-3406

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Care Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1790141984

  CO

  Medicare reassignment NPD
• Heart Centered Counseling, PC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1588038681

  Clinical

  NPD
• Rocky Mountain Behavioral Medicine LLC

  • Clinical Psychologist
  • Denver, CO
  • NPI 1215527809

  Clinical

  NPD
• Family Care Center, LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1598535288

  Psychologist

  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1841920774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 INVERNESS DR STE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 INVERNESS DR STE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103739",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 S Oneida St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802242428",
            "country_code": "US",
            "telephone_number": "720-633-9693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CRAIG",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "6126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Carl Anderson, MD
• Brian G Anderson, DDS
• Carley Anderson
• Charlotte Anderson
• Christopher Anderson
• Danielle Anderson
• Deborah Anderson
• Dennis Robert Anderson, MA LPC CACIII
• Derrick Lamar Anderson
• Elizabeth A Anderson, FNP-BC

• All providers in Colorado Springs, CO
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.