William Todd Anderson, PHD, PSYD, LP

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

001068 Issued in NY

Practice address

16 Madison SQ W FL 12
New York, NY 10010-1629

Phone

(347) 815-7780

NPI assigned

Feb 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Todd Anderson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1891329009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MADISON SQ W FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101629",
            "telephone_number": "347-815-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MADISON SQ W FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101629",
            "telephone_number": "347-815-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WILLIAM",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PHD, PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "001068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TODD",
            "last_name": "ANDERSON",
            "prefix": "DR.",
            "credential": "PHD, PSYD, LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Teri L Anderson, C.R.N.A.
• Thomas William Anderson III, DPT
• Toby Anderson, LCSW
• Todd A Anderson, M.D.
• Vanessa Rose Anderson
• Xaria Amari Anderson
• Eva Andersson, M.D.
• Christopher Andino, LCSW
• Rose Andino
• Jagadish Andiyappa, MSSLP

• All providers in New York, NY
• Psychoanalyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.