DR. ERIC KENNETH ANDERSON JR. (NPI# 1063851939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063851939 |
| Entity Type | Individual |
| Full Name | DR. ERIC KENNETH ANDERSON JR. |
| Credential | PH.D. |
| Practice Address |
5838 Edison Pl Ste 100 Carlsbad CA 92008-5520 |
| Practice Telephone | 8883070893 |
| Mailing Telephone | 8883070893 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
28391 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972063675 | Eric Joseph Anderson | Peer Specialist | 3310 W Idaho Ave, Chickasha, OK 73018-6005 | 2019-03-20 |
| 1932668589 | Eric Matthew Anderson | Counselor | 1229 Winsted Rd Unit 95, Torrington, CT 06790-2951 | 2019-03-13 |
| 1881114015 | Eric Michael Anderson | Dentist | 2925 Premiere Pkwy Ste 165, Duluth, GA 30097-5258 | 2017-06-20 |
| 1801220454 | Eric Arthur Anderson | Physician Assistant | 47 Doc Perkes Rd, Afton, WY 83110-7703 | 2013-08-29 |
| 1821375841 | Eric John Anderson | Respiratory Therapist, Certified | 2059 Jaybrook Dr, Rancho Palos Verdes, CA 90275-2033 | 2011-11-04 |
| 1497042725 | Eric Paul Anderson | Dentist | 20971 E Smoky Hill Rd Ste 202, Centennial, CO 80015-5187 | 2011-07-07 |
| 1962729327 | Eric Patrick Anderson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 910 E 26th St Ste 100-200, Minneapolis, MN 55404 | 2010-04-26 |
| 1588808034 | Eric Robert Anderson | Psychiatry & Neurology | 2152 Spring Creek Rd, Decatur, GA 30033-2608 | 2009-04-28 |
| 1811159973 | Eric T Anderson | Anesthesiology | 500 W Main St Ste 230, Lewisville, TX 75057-3629 | 2008-06-30 |
| 1548304884 | Eric Scott Anderson | Dentist | 292 E 3900 S, Ste 7, Murray, UT 84107-1557 | 2007-02-19 |
| Street Address |
5838 EDISON PL STE 100 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619021599 | Anthony J Mele | Psychologist | 5838 Edison Pl Ste 100, Carlsbad, CA 92008-5520 | 2007-01-22 |
| 1992347629 | Stella Alah Tih | Registered Nurse | 5838 Edison Pl Ste 100, Carlsbad, CA 92008-5520 | 2019-10-15 |
| 1528575081 | Sandra Kenny | Psychologist | 5838 Edison Pl Ste 100, Carlsbad, CA 92008-5520 | 2018-01-05 |
| 1790207215 | Natalie Song | Registered Nurse | 5838 Edison Pl Ste 100, Carlsbad, CA 92008-5520 | 2017-07-17 |
| 1679024954 | Sandra Cortez | Psychologist | 5838 Edison Pl Ste 100, Carlsbad, CA 92008-5520 | 2016-10-20 |
| 1043615073 | Danessa Iza Mayo | Psychologist | 5838 Edison Pl Ste 100, Carlsbad, CA 92008-5520 | 2014-11-04 |
| 1588900229 | Jacqueline Anne Kampp | Registered Nurse | 5838 Edison Pl Ste 100, Carlsbad, CA 92008 | 2012-12-28 |
| 1588919377 | Hollis Cheong Tsoi | Psychologist | 5838 Edison Pl Ste 100, Carlsbad, CA 92008-5520 | 2012-07-17 |
| 1497038152 | Charlynn Anne Odahl | Psychologist | 5838 Edison Pl Ste 100, Carlsbad, CA 92008-5520 | 2011-09-20 |
| 1639479603 | Donica J Romeo | Psychologist | 5838 Edison Pl Ste 100, Carlsbad, CA 92008-5520 | 2010-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053950634 | Kathleen Kawamura | Psychologist | 2604-b El Camino Real, #405, Carlsbad, CA 92008-1205 | 2019-12-31 |
| 1518527258 | Balanced Psychology Services | Psychologist | 2777 Jefferson St Ste 203, Carlsbad, CA 92008-1743 | 2019-06-15 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1558772772 | Tulsi Milliken | Psychologist | 6813 Briarwood Dr, Carlsbad, CA 92011-3925 | 2014-05-09 |
| 1215355227 | Judy Weiss | Psychologist | 6663 Sitio Palmas, Carlsbad, CA 92009-5919 | 2014-04-07 |
| 1881015733 | Ted Shore | Psychologist | 3295 Avenida Anacapa, Carlsbad, CA 92009-9301 | 2013-12-19 |
| 1225398696 | Melissa Mckeown Jenkins | Psychologist | 1265 Carlsbad Village Dr Ste 210c, Carlsbad, CA 92008-1972 | 2012-05-20 |
| 1306103098 | Angela Sue Klein | Psychologist | 2683 State St, Carlsbad, CA 92008-1627 | 2012-04-18 |
| 1699009308 | Robert William Mcalister Jr. | Psychologist | 2541 State St Ste 112, Carlsbad, CA 92008-1679 | 2009-09-28 |
| 1902039555 | Nichole Antoinette Duarte | Psychologist | 2382 Faraday Ave Ste 250-12, Carlsbad, CA 92008-7218 | 2009-08-31 |
| Find all providers in CARLSBAD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.