Aida L Anders, PSY.D.
Individual provider Active NPI Clinical Psychologist · Pembroke Pines, FL
NPI 1861663973 · NPPES record last updated May 23, 2016
Key facts
- NPI
- 1861663973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY6410 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070303000026 | FL | Practitioner - Clinical Psychologist | 4183726532 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6410 | FL | MD | Clinical Psychologist |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aida L Anders Psy D PA | Clinical | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6410 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 768431200 | Medicaid | FL |
Other providers in Pembroke Pines, FL
- Oliver Osadebe Anam
- Aishwarya Anand
- Sanju Aby Anand
- Anchor Medical & Mental Health Center LLC
- David R Ancona
- Danielle Marie Anderson
- Debra Anderson
- Jeffrey O. Anderson
- Ashley Viviana Andino
- Michele Andollo
All providers in Pembroke Pines, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.