Daniel A. Anderson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1645 Issued in CO

Practice address

1530 Boise Ave Ste 103
Loveland, CO 80538-4240

Phone

(970) 663-5733

Fax

(970) 663-5733

NPI assigned

Apr 10, 2007

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

Other identifiers 1

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881817997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BOISE AVE STE 103",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384240",
            "telephone_number": "970-663-5733",
            "fax_number": "970-663-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BOISE AVE STE 103",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384240",
            "telephone_number": "970-663-5733",
            "fax_number": "970-663-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DANIEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07016454",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey Andersen, M.T.
• Dennis Lee Andersen, DMD
• Jenna Andersen, MS, OTR/L
• Jeremiah John Andersen, MD
• Barbara A. Anderson, M.A.
• Eric Anderson
• Lindsey E Anderson, PT, DPT
• Lisa Murphy Anderson, D.D.S.
• Lori Ann Anderson, R.PH.
• Mark Alan Anderson, RPH

• All providers in Loveland, CO
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.