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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100501510 | 05 | |
KY | KY MEDICARE | K237430 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1811 W. Diehl Rd., Suite 700, Naperville, IL 60563 | 6309830600 |
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 |
Street Address |
1400 GRAND AVENUE |
City | NEWPORT |
State | KY |
Zip Code | 41071 |
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 |
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 Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
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] |
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 |
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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.