DR. CAROL ROBERTA ANDERSON (NPI# 1821412974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821412974 |
| Entity Type | Individual |
| Full Name | DR. CAROL ROBERTA ANDERSON |
| Credential | PH.D. |
| Practice Address |
23500 Kasson Rd. Tracy CA 95378-0400 |
| Mailing Address |
Po Box 400 Tracy CA 95378-0400 |
| Practice Telephone | 2098354141 |
| Practice Fax Number | 2098303974 |
| Mailing Telephone | 2098354141 |
| Mailing Fax Number | 2098303974 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY20604 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235184 | Carol Laverne Anderson | Nurse Practitioner | 5229 Cortland Dr, Davenport, FL 33837-1763 | 2019-03-21 |
| 1013297928 | Carol E. O. Anderson | Social Worker | 1905 Sunset Blvd Ste C, West Columbia, SC 29169 | 2011-08-23 |
| 1063728178 | Carol Suzanne Anderson | Massage Therapist | 4028 Holcomb Bridge Rd Ste 302a, Norcross, GA 30092-4620 | 2010-08-26 |
| 1659575629 | Carol Elvina Anderson | Registered Nurse | 468 Shamrock Ave, Eugene, OR 97404-1212 | 2007-06-13 |
| 1083737910 | Carol Anne Anderson | Social Worker | 120 Roxbury Rd, Syracuse, NY 13206-2318 | 2007-04-07 |
| 1245385673 | Carol A Anderson | Counselor | 8483 N Millbrook Ave Ste 101, Fresno, CA 93720-2153 | 2007-01-24 |
| 1467527523 | Carol L Anderson | Ophthalmology | 5161 Pleasant Ave, Fairfield, OH 45014-2639 | 2006-11-22 |
| 1538255385 | Carol Lynn Anderson | Dentist | 1025 10th Ave, Clarkfield, MN 56223-1301 | 2006-10-05 |
| 1699875625 | Carol Ann Anderson | Speech-Language Pathologist | 1606 29th Ave S, Fargo, ND 58103-5923 | 2006-09-22 |
| 1508800533 | Carol Ann Anderson | Counselor | 345 Oxford Dr, Gordonville, TX 76245-2553 | 2006-06-16 |
| Street Address |
23500 KASSON RD., |
| City | TRACY |
| State | CA |
| Zip Code | 95378-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245416817 | Michelle Y Street | Physician Assistant | 23,500 Kasson Rd, Tracy, CA 95378 | 2008-01-14 |
| 1568906352 | Yehenew B. Yeshiwas | Pharmacist | 23500 Kasson Road, Tracy, CA 95378 | 2016-12-13 |
| 1831505809 | Frederick Curtis | Physician Assistant | 23500 Kasson Rd, Tracy, CA 95378 | 2014-07-10 |
| 1073870150 | Grant Joel Franceschi | Psychologist | 23500 Kasson Rd, Tracy, CA 95378 | 2012-04-13 |
| 1679800627 | Martin Henry Jansen | Psychiatry & Neurology | 23500 Kasson Rd, Tracy, CA 95378 | 2009-11-12 |
| 1891970745 | Brian Sun Leo | Family Medicine | 23500 Kasson Road, Tracy, CA 95378-0004 | 2008-01-09 |
| 1922210434 | California Deparmen of Correction | Public Health or Welfare | 23500 Kasson Road, Tracy, CA 95378-0400 | 2007-05-04 |
| 1376728782 | Rosellen Diehl | Dentist | 23500 Kasson Road, Deuel Vocational Institution, Tracy, CA 95378-0400 | 2008-01-03 |
| 1396955035 | Filadelfo Velasquez Oandasan Jr. | Internal Medicine | 23500 Kasson Road, Tracy, CA 95378-0400 | 2007-05-23 |
| 1902019433 | Sambrajya Palagummi | General Practice | 23500 Kasson Road, Tracy, CA 95378-0400 | 2007-05-08 |
| Find all providers in zip 95378 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730530460 | Dr. Speed, Inc. | Psychologist | 672 W 11th St Ste 100, Tracy, CA 95376-3821 | 2016-06-23 |
| 1346372950 | Erin K Sicard | Psychologist | 1660 W Linne Rd Ste J25, Tracy, CA 95377-8024 | 2007-03-09 |
| 1326174913 | Roger James Carey | Psychologist | 652 W 11th St Ste 133, Tracy, CA 95376-3869 | 2007-02-26 |
| 1215277207 | Dawn Bramley | Psychologist | 23500 Kasson Rd, Tracy, CA 95304 | 2013-02-27 |
| 1073870150 | Grant Joel Franceschi | Psychologist | 23500 Kasson Rd, Tracy, CA 95378 | 2012-04-13 |
| 1649504259 | Tripti Bawari | Psychologist | 672 W 11th St, Suite 317, Tracy, CA 95376-3821 | 2009-09-29 |
| 1467786079 | Patrick Victor Faggianelli Jr. | Psychologist | 227 E 11th St, Tracy, CA 95376-4015 | 2009-09-29 |
| 1386808194 | Mildred Medina | Psychologist | 23500 Kasson Rd, Tracy, CA 95376 | 2008-07-11 |
| 1336202597 | Carol Kocke Caruso | Psychologist | 445 W Beverly Pl, Tracy, CA 95376 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 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 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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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.