Individual provider Active NPI

Aida L Anders, PSY.D.

  • Clinical Psychologist
  • Pembroke Pines, FL
National Provider Identifier
1861663973
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6410 Issued in FL
Practice address
9000 Sheridan St Ste 98
Pembroke Pines, FL 33024-8802
Phone
(954) 632-2409
Fax
(954) 538-0075
NPI assigned
Mar 17, 2008
Last updated
May 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY6410 FL Primary

Addresses

Primary practice location

9000 Sheridan St Ste 98
Pembroke Pines, FL 33024-8802

Mailing address

9000 Sheridan St Ste 98
Pembroke Pines, FL 33024-8802
Phone (954) 632-2409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20070303000026 FL Practitioner - Clinical Psychologist 4183726532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9000 Sheridan St
Suite 98
Pembroke Pines, FL 33024-8805
Phone (954) 632-2409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY6410FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aida L Anders Psy D PA Clinical CurrentSince Nov 20, 2006 Accepting new patients

Locations

2699 Stirling Rd
Ste C306A
Ft Lauderdale, FL 33312
Phone (954) 258-2453

9000 Sheridan St
Ste 98
Pembroke Pines, FL 33024
Phone (954) 632-2409

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1861663973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SHERIDAN ST STE 98",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330248802",
            "telephone_number": "954-632-2409",
            "fax_number": "954-538-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SHERIDAN ST STE 98",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330248802",
            "telephone_number": "954-632-2409",
            "fax_number": "954-538-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "AIDA",
        "middle_name": "L",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.