DR. JUSTIN O'NEAL ANDERSON (NPI# 1780834390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780834390 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN O'NEAL ANDERSON |
| Other Name | PSYCH, INC |
| Credential | PSY.D. |
| Practice Address |
1015 S 4th St Louisville KY 40203-3207 |
| Practice Telephone | 5022729718 |
| Mailing Telephone | 5022729718 |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2013-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1732 | KY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1723 | AL | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 46-2967720 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346658218 | Justin Andreas Anderson | Nurse Anesthetist, Certified Registered | 225 8th Ave Ne, Minneapolis, MN 55413-1922 | 2014-07-23 |
| 1356697338 | Justin J Anderson | Hearing Instrument Specialist | 1516-c 72 Bypass N, Greenwood, SC 29646 | 2012-07-27 |
| 1255567780 | Justin Shaw Anderson | Social Worker | 1810 Plum St Ste F, Valdosta, GA 31601-7583 | 2009-06-10 |
| 1609485101 | Justin Alton Anderson | Dentist | 1595 Commercial St Se, Salem, OR 97302-4309 | 2020-07-30 |
| 1518588805 | Justin Lee Anderson | Pharmacist | 2147 Blowing Rock Rd, Boone, NC 28607-6155 | 2020-04-28 |
| 1386286276 | Justin Earl Anderson | Physical Therapist | 4674 40th Ave S Ste A, Fargo, ND 58104-4501 | 2019-10-11 |
| 1700431814 | Justin Anderson | Clinic/Center | 253 N Santa Anita Ave, Arcadia, CA 91006-3114 | 2019-08-06 |
| 1760034516 | Justin Anderson | Dentist | 2306 Medical Center Pkwy Ste B5, Murfreesboro, TN 37129-3773 | 2019-07-11 |
| 1700381548 | Justin Douglas Anderson | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2018-03-26 |
| 1326541939 | Justin Hon Kale Anderson | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-03-10 |
| Street Address |
1015 S 4TH ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40203-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083276497 | Nina Wilson | Counselor | 1015 S 4th St, Louisville, KY 40203-3207 | 2019-07-05 |
| 1497103147 | Metabolic Services LLC | Pharmacy | 1015 S 4th St, Suite 202, Louisville, KY 40203-3207 | 2016-06-02 |
| 1811324122 | Psych, Inc | Psychologist | 1015 S 4th St, Louisville, KY 40203-3207 | 2013-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211738 | Integrated Health Systems LLC | Psychiatry & Neurology | 645 S Roy Wilkins Ave Ste 300, Louisville, KY 40203 | 2018-07-18 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1699296293 | Jennifer Christine Angermeier | Nurse Practitioner | 1130 W Chestnut St, Louisville, KY 40203 | 2017-07-05 |
| 1083162812 | Deloris Jean Johnson | Social Worker | 1022 South 6th Street, Louisville, KY 40203 | 2016-09-21 |
| 1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
| 1770906885 | Jason Scott Underhill | Counselor | 214 E Breckinridge St, Louisville, KY 40203 | 2014-01-24 |
| 1316372592 | Tonya Alicia Clay | Marriage & Family Therapist | 1000 South 5th Street, Family & Children's Place, Louisville, KY 40203 | 2013-09-06 |
| 1780929216 | Harambee Health Center, Inc | Clinic/Center | 800 South Preston St., Louisville, KY 40203 | 2012-12-10 |
| 1083977276 | Synergy Rehabilitation, Inc. | Physical Therapist | 832 S. 6th Street, Suite C, Louisville, KY 40203 | 2012-06-21 |
| 1043572803 | Sonya Helen Mitchell | Counselor | 2225 W. Broadway, Louisville, KY 40203 | 2012-06-07 |
| Find all providers in zip 40203 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377164 | Mariya Leyderman | Psychologist | 974 Breckenridge Ln # 171, Louisville, KY 40207-4619 | 2020-02-10 |
| 1841821196 | Sally Losson Brenzel | Psychologist | 10503 Timberwood Cir Ste 205, Louisville, KY 40223-5395 | 2020-01-27 |
| 1013495902 | Melissa Ann Gibson | Psychologist | 6500 Glenridge Park Pl Ste 3, Louisville, KY 40222-3450 | 2018-08-01 |
| 1437645934 | Flourish Louisville | Psychologist | 6000 Brownsboro Park Blvd Ste A, Louisville, KY 40207-7201 | 2018-07-09 |
| 1982197737 | Louisville Center for Eating Disorders LLC | Psychologist | 11824 Ransum Dr # 200, Louisville, KY 40243-2802 | 2018-06-07 |
| 1801305461 | Elizabeth Swabek | Psychologist | 3703 Taylorsville Rd Ste 221, Louisville, KY 40220-1331 | 2017-09-27 |
| 1487173712 | The Wright Psychology and Learning Center, Pllc | Psychologist | 4010 Dupont Cir Ste 401, Louisville, KY 40207-4887 | 2017-09-19 |
| 1013371699 | Deshields Behavioral Wellness, Inc. | Psychologist | 2515 Gardiner Ln, Louisville, KY 40205-3003 | 2016-04-08 |
| 1851767974 | Clement Street Russell | Psychologist | 912 Lily Creek Rd, #201, Louisville, KY 40243-2815 | 2015-08-12 |
| 1306235452 | Katrina Mcbride | Psychologist | 6009 Brownsboro Park Blvd Ste C, Louisville, KY 40207-1291 | 2015-01-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40203 |
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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.