DR. BRAD LEE ANDERSON (NPI# 1861450090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861450090 |
| Entity Type | Individual |
| Full Name | DR. BRAD LEE ANDERSON |
| Credential | PH.D. |
| Practice Address |
2200 Sw Gage Blvd Topeka KS 66622-0001 |
| Practice Telephone | 7853503111 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 856 | KS | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
856 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245541861 | Brad Charles Anderson | Occupational Therapist | 1296 N Chester Ave, Pasadena, CA 91104-2947 | 2010-06-29 |
| 1558362657 | Brad Douglas Anderson | Family Medicine | 90 Health Park Dr, Suite 260, Louisville, CO 80027-9757 | 2005-08-10 |
| 1255766242 | Brad Anderson | Counselor | 21260 N. 1450 E., Moroni, UT 84646-0383 | 2013-09-09 |
| 1508042920 | Brad Charles Anderson | Counselor | 212 I St., Davis, CA 95616 | 2008-01-16 |
| 1245411693 | Brad Anderson | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2007-11-14 |
| 1245323724 | Brad M Anderson | Family Medicine | 3550 N Interstate Ave, Portland, OR 97227-1097 | 2006-10-02 |
| 1295757516 | Brad Anderson | Emergency Medicine | 1255 Hilyard St, Eugene, OR 97401-3718 | 2006-07-24 |
| 1649298381 | Brad C Anderson | Podiatrist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2006-07-18 |
| Street Address |
2200 SW GAGE BLVD |
| City | TOPEKA |
| State | KS |
| Zip Code | 66622-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994395 | Jeffrey M Warner | Chiropractor | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2005-06-30 |
| 1063034486 | Margaret Ellen Anderson | Occupational Therapist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-05-07 |
| 1053949255 | Dawn A Garcia | Registered Nurse | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-04-01 |
| 1972131621 | Shannon Marie Johnson Wilder | Psychologist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-30 |
| 1902432412 | Leasha Raelynn Brooks | Family Medicine | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-16 |
| 1275169898 | Andrea Leigh Orrison | Nurse Practitioner | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-15 |
| 1922633718 | Cecilia Adaora Nwakpuda | Nurse Practitioner | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-11 |
| 1144869025 | Jayme M Mavrovich | Social Worker | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2019-12-25 |
| 1699313882 | Shawna R Deters | Registered Nurse | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2019-12-18 |
| 1407400526 | Debra M. Crater | Social Worker | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2019-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823001 | Tara Jarrett | Psychologist | 2200 Sw Gage Blvd., Topeka, KS 66622 | 2018-06-06 |
| 1750321519 | Jamye Buelke Brown | Psychologist | Colmery-o'neil Va Medical Center, 2200 Gage Boulevard, Topeka, KS 66622 | 2006-06-08 |
| 1003864026 | Richard Guy Brausa | Social Worker | Ekhcs 2200 Gage, Topeka, KS 66622 | 2006-05-04 |
| 1174580625 | Sandra Lynn Hampton | Physician Assistant | 2200 Gage Va, Topeka, KS 66622 | 2006-04-27 |
| 1790741882 | Jose Maria Bejar | Psychiatry & Neurology | 2200 Gage Blvd., Topeka, KS 66622 | 2006-04-26 |
| 1750877635 | Kiran Randhawa | Psychiatry & Neurology | 2200 Sw Gage Blvd., Topeka, KS 66622 | 2018-07-03 |
| 1427089879 | Laura Leanne Rupnick | Pharmacist | Colmery-o'neil Va Medical Center, 2200 Gage Blvd, Topeka, KS 66622 | 2006-07-05 |
| 1457382673 | Patricia J Mcnelis | Nurse Practitioner | 2200 Gage Blvd, Colmeny Oneil Va Medical Center, Topeka, KS 66622 | 2006-07-05 |
| 1962416909 | Jay Pehrson Kennedy | Family Medicine | 2200 Sw Gage Boulevard, U.S. Department of Veterans Affairs, Topeka, KS 66622-0000 | 2006-07-27 |
| 1821588526 | Cody Poell | Pharmacist | 2200 Seems Gage Blvd, Topeka, KS 66622-0001 | 2018-05-17 |
| Find all providers in zip 66622 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588004014 | Dr. George Athey, Ph.d., LLC | Clinical Neuropsychologist | 2201 Sw 29th St, Topeka, KS 66611-1975 | 2013-06-28 |
| 1225147085 | George Athey Jr. | Clinical Neuropsychologist | 2955 Sw Wanamaker Dr, Topeka, KS 66614-5318 | 2006-08-29 |
| 1184699696 | Lizhao Wang | Clinical Neuropsychologist | 1504 Sw 8th Ave, Topeka, KS 66606-1632 | 2006-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368157 | Neuropsychology Services of Kansas | Clinical Neuropsychologist | 10111 E 21st St N Ste 401, Wichita, KS 67206-3581 | 2020-02-19 |
| 1982081162 | Adam C Parks | Clinical Neuropsychologist | 4330 Shawnee Mission Pkwy Ste 2180, Fairway, KS 66205-2522 | 2015-04-27 |
| 1275897597 | Meredith Lubow | Clinical Neuropsychologist | 14105 Stearns St, Overland Park, KS 66221-8089 | 2012-07-02 |
| 1588954200 | Jared Bruce | Clinical Neuropsychologist | 10555 Marty St Ste 100, Overland Park, KS 66212-2555 | 2011-04-14 |
| 1134328420 | David R. Mouille | Clinical Neuropsychologist | 4786 Black Swan Dr, Shawnee, KS 66216-1235 | 2007-07-16 |
| 1134274822 | Sally Ann Frutiger | Clinical Neuropsychologist | Center for Neuropsychology, University of Kansas Hospital, Kansas City, KS 66160-0001 | 2007-01-24 |
| 1477648111 | Eric Phillip Ecklund-johnson | Clinical Neuropsychologist | University of Kansas Hospital, 3901 Rainbow Blvd., Mail Stop 1059, Kansas City, KS 66160-0001 | 2006-10-04 |
| 1427061209 | Melinda Anne Shaver | Clinical Neuropsychologist | 201 N Penn Ave, Suite 507, Independence, KS 67301-3357 | 2006-08-14 |
| 1427053784 | Marc A Quillen | Clinical Neuropsychologist | 4217 Briarwood Dr, Lawrence, KS 66049-1998 | 2005-06-14 |
| 1770197790 | Amanda Brunette | Clinical Neuropsychologist | 4330 Shawnee Mission Pkwy Ste 2180, Fairway, KS 66205-2522 | 2020-09-08 |
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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.