Ryan Anderson

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017425 Issued in PA

Practice address

4415 5TH Ave Ste 160
Pittsburgh, PA 15213-2654

Phone

(412) 246-5811

NPI assigned

Sep 27, 2011

Last updated

Jul 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0d020f94-2b1e-4cb2-a9d2-eecf3a1a0504/
• Direct secure messaging: ryan.j.anderson3@upmcdirect.com

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.

• Upmc Advanced Practice Providers

  • Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1457769176
  Medicare reassignment NPD
• Upmc Advanced Practice Providers

  dba UPMC Integrated Advanced Care Providers

  • Clinical Social Worker
  • Pittsburgh, PA
  • NPI 1720608805
  NPD
• Childrens Community Pediatrics

  • Pediatrics Physician
  • Monroeville, PA
  • NPI 1740244110
  NPD (past)
• Upmc Children's Hospital of Pittsburgh

  • Pediatrics Physician
  • Wexford, PA
  • NPI 1013225648
  NPD (past)

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1982987848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 5TH AVE STE 160",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 5TH AVE STE 160",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132654",
            "telephone_number": "412-246-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11279 Perry Hwy",
            "address_2": "SUITE 204",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150909381",
            "country_code": "US",
            "telephone_number": "724-933-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2025-07-11",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS017425",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.j.anderson3@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• McKenna Kyle Anderson, PHARMD
• Melissa Anderson, LPN
• Michael Lloyd Anderson, LPC
• Mychael C Anderson
• Ryan Anderson
• Sara Elaine Anderson, PSY.D.
• Shaterra Anderson
• Sherry Anderson, LSW
• Susann Anderson, PSYD
• Terrence Michael Anderson, M.D.

• Clinical Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.