DR. NICHOLAS ANDERSON (NPI# 1720450638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720450638 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS ANDERSON |
| Credential | PH.D. |
| Practice Address |
2901 S Sepulveda Blvd Apt 206 Los Angeles CA 90064-3946 |
| Practice Telephone | 9163377704 |
| Mailing Telephone | 9163377704 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
27474 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
27474 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
27474 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
27474 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
27474 | CA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
27474 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
27474 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700269693 | Nicholas Reed Anderson | Emergency Medical Technician, Basic | 24095 Marathon St, Mission Viejo, CA 92691-3803 | 2015-07-09 |
| 1295046712 | Nicholas Robert Anderson | Physical Medicine & Rehabilitation | 121 Cahill Rd Suite 206, Branson, MO 65616 | 2010-06-30 |
| 1669094108 | Nicholas E Anderson | Student in an Organized Health Care Education/Training Program | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2020-05-06 |
| 1679100408 | Nicholas Beecher Anderson | Student in an Organized Health Care Education/Training Program | 7450 Hospital Dr Ste 4500, Dublin, OH 43016-9693 | 2020-03-23 |
| 1396378519 | Nicholas Kent Anderson | Pharmacist | 1895 E Fire Tower Rd, Greenville, NC 27858-4132 | 2020-02-17 |
| 1962041301 | Nicholas C Anderson | Physical Therapy Assistant | 1700 Keystone Pacific Pkwy, Patterson, CA 95363-8874 | 2020-01-02 |
| 1740827229 | Nicholas A Anderson | Counselor | 8 Kilburn St, New Bedford, MA 02740-7321 | 2019-12-04 |
| 1700443777 | Nicholas Wilson Anderson | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2019-05-24 |
| 1093281016 | Nicholas Anderson | Physician Assistant | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2018-10-17 |
| 1366976409 | Nicholas L Anderson | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2017-04-15 |
| Street Address |
2901 S SEPULVEDA BLVD APT 206 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
Please comment or provide details below to improve the information on DR. NICHOLAS 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.