NPIMap

Organization Active NPI

Aimee E. Anderson, PH.D. a Professional Psychology Corporation

  • Early Intervention Provider Agency
  • Agoura Hills, CA
National Provider Identifier
1922397272
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
PSY 18781 Issued in CA
Legal business name
AIMEE E. ANDERSON, PH.D. A PROFESSIONAL PSYCHOLOGY CORPORATION
Practice address
29525 Canwood St
Suite 303
Agoura Hills, CA 91301-4233
Phone
(818) 707-1717
Fax
(818) 707-1719
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Dr. Aimee Elizabeth Anderson, PH.D., BCBA-D
Title
Owner/Director/Psychologist
Phone
(818) 707-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X PSY 18781 CA Primary

Addresses

Primary practice location

29525 Canwood St
Suite 303
Agoura Hills, CA 91301-4233

Mailing address

29525 Canwood St
Suite 303
Agoura Hills, CA 91301-4233
Phone (818) 707-1717

Other names 1

  • Autism Center for Treatment (ACT) Doing business as

National Provider Directory

National Provider Directory

Locations

29525 Canwood St
Ste 303
Agoura Hills, CA 91301
Phone (818) 707-1717

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1922397272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST",
            "address_2": "SUITE 303",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014233",
            "telephone_number": "818-707-1717",
            "fax_number": "818-717-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST",
            "address_2": "SUITE 303",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014233",
            "telephone_number": "818-707-1717",
            "fax_number": "818-707-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIMEE E. ANDERSON, PH.D. A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-707-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "PSY 18781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Center for Treatment (ACT)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.