DR. RONALD DOUGLAS ANDERSON (NPI# 1679578686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679578686 |
| Entity Type | Individual |
| Full Name | DR. RONALD DOUGLAS ANDERSON |
| Credential | PH.D. |
| Practice Address |
21 Church St Willimantic CT 06226-2644 |
| Mailing Address |
Po Box 301 Mansfield Center CT 06250-0301 |
| Practice Telephone | 8604564442 |
| Mailing Telephone | 8604871641 |
| Mailing Fax Number | 8604564068 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
001296 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM /BLUE CROSS | 0600001296CT03 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184989097 | Ronald Anderson | Pharmacist | 1157 County Road R, North Bend, NE 68649-2022 | 2012-07-06 |
| 1902065337 | Ronald Carroll Anderson | Counselor | 502 S Lincoln St, Enid, OK 73703-5630 | 2008-06-02 |
| 1518013085 | Ronald L Anderson | Chiropractor | 10130 Commercial Ave, Penn Valley, CA 95946-9466 | 2007-01-26 |
| 1376604231 | Ronald Warren Anderson | Internal Medicine | 407 S 19th St, Blair, NE 68008-1907 | 2006-12-13 |
| 1194819938 | Ronald Bernhard Anderson | Internal Medicine | 1088 W Baltimore Pike Ste 2105, Media, PA 19063-5136 | 2006-10-03 |
| 1558471573 | Ronald D Anderson | Obstetrics & Gynecology | 2100 Highland Way Ste K, Mitchell, SD 57301-6409 | 2006-08-30 |
| 1801887922 | Ronald Joe Anderson | Optometrist | 365 Capital Ave Ne, Battle Creek, MI 49017-4829 | 2005-10-31 |
| 1467087809 | Ronald Scott Anderson | Pharmacist | 810 Maryland Ave E, Saint Paul, MN 55106-2511 | 2020-03-05 |
| 1336706852 | Ronald James Anderson | Physical Therapy Assistant | 300 Happy Ln, Hillsboro, TX 76645-2624 | 2019-05-20 |
| 1659824605 | Ronald Anderson | Massage Therapist | 8046 Roswell Rd, Sandy Springs, GA 30350-7023 | 2016-07-26 |
| Street Address |
21 CHURCH ST |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156148 | Igor C Espittia | Social Worker | 21 Church St, Willimantic, CT 06226-2644 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1215141437 | Kathryn Sanders Connolly | Psychologist | 1320 Main St, Willimantic, CT 06226-1940 | 2007-05-09 |
| 1427122258 | Ruth E. Marcial | Psychologist | 132 Mansfield Ave, United Services, Inc., Willimantic, CT 06226-2027 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
| 1225649080 | Joyce Nathan | Psychologist | 175 Riversville Rd, Greenwich, CT 06831-3629 | 2020-08-13 |
| 1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
| 1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1629698238 | David A Stayner | Psychologist | 39 Pleasant Dr, Cheshire, CT 06410-2241 | 2020-04-23 |
| 1730726324 | Samantha R Morris | Psychologist | 377 Mansfield Road, Unit 1255, Storrs, CT 06269-1255 | 2019-12-03 |
| 1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
| 1225686249 | Morris Brett Denkin | Psychologist | 51 Locust Ave Ste 302a, New Canaan, CT 06840-4739 | 2019-09-03 |
| 1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
Please comment or provide details below to improve the information on DR. RONALD DOUGLAS 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.