John A. Anderson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2941 Issued in NC

Practice address

501 Pinner Weald Way Ste 201
Cary, NC 27513-2610

Phone

(919) 465-2343

Fax

(919) 465-2344

NPI assigned

Dec 31, 2006

Last updated

Dec 14, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• John a. Anderson, Psy.D., Inc.

  • Clinical Psychologist
  • Cary, NC
  • NPI 1215116157
  Medicare reassignment NPD Authorized official
• Wholeheartedly Daring, PLLC

  • Adult Mental Health Clinic/Center
  • Cary, NC
  • NPI 1104656420
  NPD

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1902962004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 FAIRBANKS RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132705",
            "telephone_number": "919-468-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PINNER WEALD WAY STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132610",
            "telephone_number": "919-465-2343",
            "fax_number": "919-465-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-31",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Joy Anderson, LCMHC-A
• Christina Anderson
• Courtney Anderson
• Dominique Anderson
• Donna Nicole Anderson, FNP, PMHNP-BC
• Kathleen Devon Anderson, LCMHCA
• Latoria Rockwell Anderson
• Laura Hill Anderson, OTD, OTR/L
• Mary Anderson, LPCA
• Tyler Evan Anderson, RPA, RT(R)

• Clinical Psychologist in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.