DR. JESSICA ANDERSON (NPI# 1154689826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154689826 |
| Entity Type | Individual |
| Full Name | DR. JESSICA ANDERSON |
| Credential | PSY.D, NCSP |
| Practice Address |
1616 Walnut St 2108 Philadelphia PA 19103-5313 |
| Mailing Address |
40 Harrison St 21e New York NY 10013-2742 |
| Practice Telephone | 3477490348 |
| Mailing Telephone | 3477490348 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TS0200X |
Psychologist Specialization: School |
1189167 | NY | Behavioral Health & Social Service Providers |
| Y | 103TS0200X |
Psychologist Specialization: School |
562042 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245837 | Jessica N Anderson | Adult Companion | 1640 Arville St, Las Vegas, NV 89102-3840 | 2020-08-16 |
| 1699239236 | Jessica Anderson | Occupational Therapist | 20 County Barn Rd, Booneville, KY 41314-6500 | 2019-01-28 |
| 1275034423 | Jessica Dharma Anderson | Social Worker | 11 Woods Pond Drive, Westford, MA 01886 | 2018-02-23 |
| 1396275376 | Jessica Anna Anderson | Licensed Vocational Nurse | 539 Mitchell Ave, Turlock, CA 95380-4043 | 2017-06-13 |
| 1841739935 | Jessica Anderson | Speech-Language Pathologist | 6624 Beck Dr Ne, Albuquerque, NM 87109-3702 | 2017-02-22 |
| 1144769878 | Jessica Anderson | Nurse's Aide | 2803 Wooded Ln, Mchenry, IL 60051-7889 | 2017-02-14 |
| 1508302498 | Jessica Leah Anderson | Physical Therapy Assistant | 3620 Applewood Rd, North Chesterfield, VA 23234-4821 | 2017-01-16 |
| 1922557271 | Jessica Byers Anderson | Massage Therapist | 104 W Hilliard Ln, Eugene, OR 97404-3012 | 2016-09-28 |
| 1841668175 | Jessica Elise Anderson | Occupational Therapist | 731 S 16th St Apt 2f, Philadelphia, PA 19146-2126 | 2015-09-03 |
| 1073892097 | Jessica Lauren Anderson | Speech-Language Pathologist | 413 W Bloomfield Ave, Royal Oak, MI 48073-2567 | 2011-08-08 |
| Street Address |
1616 WALNUT ST 2108 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177744 | Joseph T. Ruhl Jr. | Physical Therapist | 1616 Walnut St, Suite 210, Philadelphia, PA 19103-5313 | 2005-07-12 |
| 1235424300 | Ellen Singer Coleman | Social Worker | 1616 Walnut St, Suite 1108, Philadelphia, PA 19103-5313 | 2011-06-16 |
| 1366750515 | Danna R. Bodenheimer | Social Worker | 1616 Walnut St, Suite 1610, Philadelphia, PA 19103-5313 | 2010-09-22 |
| 1396051389 | Rittenhouse Sleep Medicine LLC | Psychiatry & Neurology | 1616 Walnut St, 312-c, Philadelphia, PA 19103-5313 | 2010-08-27 |
| 1124262530 | Robert M. Toborowsky | Psychiatry & Neurology | 1616 Walnut St, Suite 1116, Philadelphia, PA 19103-5313 | 2009-04-29 |
| 1164673596 | Susan Mary Moslow | Psychologist | 1616 Walnut St, Suite 1108, Philadelphia, PA 19103-5313 | 2008-10-03 |
| 1679735880 | Rachel Ginzberg | Psychologist | 1616 Walnut St, Suite 806, Philadelphia, PA 19103-5313 | 2008-06-28 |
| 1619164563 | David Gregory Digiovanni | Physical Therapist | 1616 Walnut St, Lower Lobby, Philadelphia, PA 19103-5313 | 2007-09-25 |
| 1053516427 | Julie Lynn Everett | Physical Therapist | 1616 Walnut St, Suite 210, Philadelphia, PA 19103-5313 | 2007-06-18 |
| 1639372089 | Alyce Jackson | Psychologist | 1616 Walnut St, Suite 910, Philadelphia, PA 19103-5313 | 2007-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464393 | Amanda J Buckley | Psychologist | 7307 Walnut Ln, Philadelphia, PA 19138-1331 | 2020-04-01 |
| 1669025409 | Meghan Garrett | Psychologist | 823 N Judson St, Philadelphia, PA 19130-1921 | 2019-07-22 |
| 1629337266 | Natalie Siegel | Psychologist | 12707 Minden Rd, Philadelphia, PA 19154-1419 | 2012-05-15 |
| 1346891728 | Tamara Southerling | Psychologist | 1518 Walnut St Ste 307, Philadelphia, PA 19102-3402 | 2019-09-26 |
| 1649711268 | Martine Saint-vil | Psychologist | 301 W Hunting Park Ave, Philadelphia, PA 19140-2625 | 2017-03-15 |
| 1841741881 | Jay Tarnoff | Psychologist | 10541 Drummond Rd, Philadelphia, PA 19154-3807 | 2016-10-14 |
| 1740665769 | Tara Michelle Studley | Psychologist | 2133 Arch St, Suite 302, Philadelphia, PA 19103-1350 | 2015-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177507 | Meredith Petruccelli | Psychologist | 2 Station Way Rd Ste 2, Chadds Ford, PA 19317-9782 | 2020-09-08 |
| 1013520477 | Colleen Bell | Psychologist | 3085 Church Street, Springtown, PA 18081 | 2020-08-26 |
| 1679184683 | Reginald Candio | Psychologist | 117 W Gay St Ste 210, West Chester, PA 19380-2938 | 2020-08-12 |
| 1639788292 | Marisa Morelli | Psychologist | 3117 William Rd, Garnet Valley, PA 19060-2045 | 2020-07-29 |
| 1306460381 | Richard Xavier Glosser | Psychologist | 708 Rosewood Dr, Pittsburgh, PA 15239-1065 | 2020-06-04 |
| 1770105207 | Carissa Marie Bowersox | Psychologist | 71 Bowersox Ln, Liverpool, PA 17045-8421 | 2020-05-06 |
| 1730725060 | Melinda Hodder | Psychologist | 408 Stiefel Ave, Ellwood City, PA 16117-2946 | 2019-11-21 |
| 1922643659 | Romulo Emilio Macias Sr. | Psychologist | 231 Tim St, Stroudsburg, PA 18360-8437 | 2019-11-18 |
| 1871137836 | Mary Wykle | Psychologist | 1015 Fisher St, Chester Springs, PA 19425-3804 | 2019-11-03 |
| 1467093856 | Kristen Prentiss | Psychologist | 805 Norfolk Rd, Jenkintown, PA 19046-3416 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
Please comment or provide details below to improve the information on DR. JESSICA ANDERSON.
| 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.