DR. BENJAMIN MICHAEL ANDERSON


Address: 1400 Grand Avenue, Newport, KY 41071
Phone: 8593015901

DR. BENJAMIN MICHAEL ANDERSON (NPI# 1730306754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730306754
Entity Type Individual
Full Name DR. BENJAMIN MICHAEL ANDERSON
Credential PSY.D.
Practice Address 1400 Grand Avenue
Newport
KY 41071
Mailing Address Po Box 635283
Cincinnati
OH 45263-5283
Practice Telephone 8593015901
Practice Fax Number 8593015940
Mailing Telephone 8593015901
Mailing Fax Number 8593015940
Enumeration Date 2007-04-19
Last Update Date 2019-03-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 128177 KY Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
71007260 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100501510 05
KY KY MEDICARE K237430 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1811 W. Diehl Rd., Suite 700, Naperville, IL 60563 6309830600

Other Providers BENJAMIN ANDERSON

NPI Name Taxonomy Address Enumeration
1386291102 Benjamin R Anderson Physician Assistant 2138 Nc 42, Clayton, NC 27520 2019-08-26
1720282775 Benjamin Freeman Anderson Jr. Optometrist 5062 W Atlantic Ave, Delray Beach, FL 33484-8129 2007-06-13
1861981300 Benjamin Anderson Behavior Technician 1910 Olympic Blvd Ste 220, Walnut Creek, CA 94596-5071 2018-05-09
1710384060 Benjamin Anderson Chiropractor 2255 S 108th St, West Allis, WI 53227-1107 2014-12-02
1184056624 Benjamin H. Anderson Physician Assistant 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 2013-08-07
1508203712 Benjamin Anderson Counselor 2500 Rike Dr, Pine Bluff, AR 71603-3937 2013-05-29
1497098404 Benjamin James Anderson Psychiatry & Neurology 200 Retreat Ave, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 2013-03-28
1851690275 Benjamin Thomas Anderson Internal Medicine 1101 Michigan Ave, Logansport, IN 46947-1528 2011-03-24
1073775839 Benjamin James Anderson Dentist 14625 California St, Omaha, NE 68154-1950 2008-07-01
1417143272 Benjamin Charles Anderson Occupational Therapy Assistant 1010 W Main St, Henderson, TX 75652-2923 2007-09-14

Office Location

Street Address 1400 GRAND AVENUE
City NEWPORT
State KY
Zip Code 41071

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548733066 Summt Medical Group, Inc Clinic/Center 1400 Grand Avenue, Newport, KY 41071 2019-01-08
1164995544 Summit Medical Group, Inc Urology 1400 Grand Avenue, Newport, KY 41071 2019-01-08
1093137812 Summit Medical Group, Inc. Emergency Medicine 1400 Grand Avenue, Newport, KY 41071-2570 2014-01-14
1932442175 Darek Sanford Internal Medicine 1400 Grand Avenue, Newport, KY 41071-2570 2013-04-05
1457663833 Tyler William Browning Family Medicine 1400 Grand Avenue, St Elizabeth Physicians, Newport, KY 41071 2010-07-13
1093976375 Sherri Lynne Schwartz Family Medicine 1400 Grand Avenue, St Elizabeth Physicians, Newport, KY 41071-2570 2008-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528598240 Drew Austin Rappaport Dentist 70 Carothers Rd, Newport, KY 41071 2017-06-14
1811443435 Marcus E. Mckinney Pharmacist 100 Aqua Way, Newport, KY 41071 2016-09-01
1437288065 Douglas K Braun Dentist 40 E 9th St, Newport, KY 41071 2007-03-02
1952445017 Therapeutic Collabortive Social Worker 525 Licking Pike, Wilder, KY 41071 2007-02-20
1215078407 Holly Ann Eary Counselor 519 Licking Pk, Wilder, KY 41071 2007-02-09
1790839819 James John Otrembiak Pediatrics 525 Alexandria Pike Ste 320, Southgate, KY 41071 2007-01-23
1326047903 Stephen F Mielech Podiatrist 525 Alexandria Pike, Southgate, KY 41071 2005-07-18
1033737085 Ashley Ryan Nurse Practitioner 215 E. 11th St., Newport, KY 41071 2020-07-07
1619454071 Sarah Kaiser Social Worker 1 Moock Rd Ste 101, Wilder, KY 41071 2018-07-27
1750877023 Alyssa Kreider Nurse Practitioner 1400 Grand Ave, Newport, KY 41071 2018-07-10
Find all providers in zip 41071

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124479977 Lisa Weyandt Psychologist 16 Ellery Rd, Newport, RI 02840-2821 2016-06-23
1508124769 Elizabeth D. Gibbs Psychologist 4 Fletcher Rd, Newport, NH 03773-2313 2012-04-25
1124179544 James E. Kraeger Psychologist 28 Pelham St, Newport, RI 02840-3044 2007-01-13
1669521456 Peter Jeffrey Kosseff Psychologist 37 Powel Ave, Newport, RI 02840-2676 2007-01-09
1861541807 Emil Paul Slatick Psychologist 255 Sw Coast Hwy, #202, Newport, OR 97365-4988 2007-01-09
1093805889 Lawrence Berry Psychologist 154 Duchess Ave, Newport, VT 05855-5516 2006-10-13
1982640041 Manjul Asthana Psychologist C/o Harmonious Mind, 240 N. James St, Ste 111, Newport, DE 19804-0000 2006-06-20
1598762304 Nhcc Medical Associates, Inc. Psychologist 275 Broadway, Unit 2, Newport, RI 02840-2612 2005-07-07
1124418819 Cherokee Health Systems Psychologist 215 Hedrick Dr, Newport, TN 37821-2902 2015-02-02
1265565857 Karen J Hack Psychologist 154 Duchess St, Newport, VT 05855-0724 2007-03-13
Find all providers in NEWPORT

Competitor

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City NEWPORT
Zip Code 41071

Improve Information

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Dataset Information

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.

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