Sydney F Anderson PHD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20040198A Issued in IN

Legal business name

SYDNEY F ANDERSON PHD LLC

Practice address

637 N College Ave
Bloomington, IN 47404-3871

Phone

(812) 331-2800

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Sydney F Anderson, PHDNPI 1053389270

Title

Owner

Phone

(812) 331-2800

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sydney F Anderson, PHD

  • Clinical Psychologist
  • Bloomington, IN
  • NPI 1053389270
  NPD (past) Authorized official

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1881863686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 N COLLEGE AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043871",
            "telephone_number": "812-331-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 N COLLEGE AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043871",
            "telephone_number": "812-331-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYDNEY F ANDERSON PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-331-2800",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040198A",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040198A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Ruth Swenson-Brack, LMHC
• Melinda Marie Swenson, NP
• Solae Swenson, OTR
• Laura Swinford, L.C.S.W.
• Johnesia Lanae Swinton
• Nida Javed Syed, M.D.
• Katherine Denise Szkola, RBT
• Georges David Tabbal, PHARMD
• David Kruse Tabereaux, DDS
• Marissa Suzanne Tabor

• Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.