DR. REBECCA D ANDERSON (NPI# 1073574992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073574992 |
| Entity Type | Individual |
| Full Name | DR. REBECCA D ANDERSON |
| Credential | PHD |
| Practice Address |
3132 Old Jacksonville Rd Suite 140 Springfield IL 62704-7400 |
| Practice Telephone | 2178620400 |
| Practice Fax Number | 2178620440 |
| Mailing Telephone | 2178620400 |
| Mailing Fax Number | 2178620440 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780189779 | Rebecca T Anderson | Pharmacist | 101 Windflower Ln Ste 100, Solon, IA 52333-4708 | 2018-03-29 |
| 1285149781 | Rebecca Anderson | Physician Assistant | 413 Owen Dr Ste 201, Fayetteville, NC 28304-3490 | 2017-12-06 |
| 1003335795 | Rebecca Anderson | Audiologist | 1500 Nw 10th Ave Ste 104, Boca Raton, FL 33486-1344 | 2017-09-13 |
| 1477890077 | Rebecca Anderson | Pharmacist | 10006 Mountaingate Ln, Bakersfield, CA 93311-2779 | 2013-01-16 |
| 1871871293 | Rebecca Anderson | Marriage & Family Therapist | 19 Hanson St, Portland, ME 04103-4912 | 2011-08-02 |
| 1518105873 | Rebecca Ann Anderson | Dental Hygienist | 933 Duncan Rd, Belgrade, MT 59714-8187 | 2009-01-25 |
| 1386846038 | Rebecca D Anderson | Counselor | 1215 Main Street, Philomath, OR 97370 | 2007-06-04 |
| 1063628121 | Rebecca Jane Anderson | General Practice | 5610 Crawfordsville Rd Ste 103, Indianapolis, IN 46224-3714 | 2007-05-15 |
| 1568514354 | Rebecca Jo Anderson | Dentist | 170 West Fifth Street, Elkhorn City, KY 41522 | 2007-01-18 |
| 1750441697 | Rebecca Jo Anderson | Speech-Language Pathologist | 4bershire Blvd, Bethel, CT 06801-1001 | 2006-12-11 |
| Street Address |
3132 OLD JACKSONVILLE RD SUITE 140 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308884 | Lorie Ann Bleyer | Internal Medicine | 3132 Old Jacksonville Rd, Suite 200, Springfield, IL 62704-7400 | 2005-07-07 |
| 1245897255 | Haylie A Damhoff | Nurse Practitioner | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2019-05-24 |
| 1285192385 | Katherine M Winner | Nurse Practitioner | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2019-03-07 |
| 1861965873 | Kathryn E Carnes | Nurse Practitioner | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2019-01-03 |
| 1558830315 | Katlyn Hott | Nurse Practitioner | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2018-11-21 |
| 1124501606 | Ashley H Overmeyer | Nurse Practitioner | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2018-09-11 |
| 1780175778 | Amber Sperry | Nurse Practitioner | 3132 Old Jacksonville Rd, Springfield, IL 62704 | 2018-05-24 |
| 1114435559 | Carol J Lantz | Nurse Practitioner | 3132 Old Jacksonville Rd, Springfield, IL 62704 | 2018-01-19 |
| 1275041097 | Nicole R Johnson | Nurse Practitioner | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2018-01-15 |
| 1255843272 | Allison M Trigg | Nurse Practitioner | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509187 | Laura M Maggio | Psychologist | 11 Stephanie Cir, Springfield, MA 01129-1961 | 2020-05-08 |
| 1215556386 | Lotus Healing Center LLC | Psychologist | 28 Millburn Ave Ste 6, Springfield, NJ 07081-1023 | 2020-04-09 |
| 1194359216 | Kathrin A Koehler | Psychologist | 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 | 2020-02-27 |
| 1689126120 | Assessment Consultants, LLC | Psychologist | 2146 W Chesterfield Blvd Ste E202, Springfield, MO 65807-8650 | 2016-11-01 |
| 1003366436 | Caitriona Hayes | Psychologist | 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 | 2016-10-10 |
| 1669929907 | Richart Lipe Demier | Psychologist | 5871 S Northern Ridge Rd, Springfield, MO 65810-1976 | 2016-09-03 |
| 1043660905 | Safe Harbor Christian Counseling of Northern Virginia LLC | Psychologist | 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 | 2016-06-21 |
| 1659786432 | Kimberly Wilkins Psyd LLC | Psychologist | 1344 W Oakville Rd, Springfield, MO 65810-1696 | 2014-06-30 |
| 1548507817 | Bahn and Associates | Psychologist | 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 | 2013-01-07 |
| 1396004990 | Cultivate Psychological Services LLC | Psychologist | 1439 S Rogers Ave, Springfield, MO 65804-1129 | 2012-05-16 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on DR. REBECCA D ANDERSON.
| 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.