Anders Psychological Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP5685 Issued in MN

Legal business name

ANDERS PSYCHOLOGICAL SERVICES LLC

Practice address

1660 Highway 100 S
Suite 332
St Louis Park, MN 55416-1529

Phone

(612) 208-2476

NPI assigned

Aug 14, 2015

Last updated

Aug 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Anders, PHD, LP

Title

Owner/Psychologist

Phone

(612) 208-2476

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1851767768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 332",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161529",
            "telephone_number": "612-208-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 332",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161529",
            "telephone_number": "612-208-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-208-2476",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Americare Center LLC
• Sarah Ames, CNP
• Mohamed Amiin, MD
• Paul J Amundson, MD
• Kyra Anderle
• Jacob Brooker Andersen
• Sharon Jean Andersen, M.A., L.M.F.T.
• Ashti Jamunar Anderson
• Blair M Anderson, MD
• Brent Anderson, PSYD

• Psychologist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.