DR. ADAM ANDERSON (NPI# 1467569962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467569962 |
| Entity Type | Individual |
| Full Name | DR. ADAM ANDERSON |
| Credential | PHD |
| Practice Address |
1025 Marsh St Mankato MN 56001-4752 |
| Practice Telephone | 5073402011 |
| Mailing Telephone | 5076254031 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP4863 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023321098 | Adam Jacob Anderson | Dentist | 3617 W Sunset Ave, Springdale, AR 72762-4955 | 2010-07-20 |
| 1750577524 | Adam Elliott Anderson | Physical Therapist | 1077 E Golf Rd, Arlington Heights, IL 60005-4271 | 2007-09-14 |
| 1629414743 | Adam M Anderson | Dentist | 275 N Main St, Valentine, NE 69201-1840 | 2013-05-15 |
| 1841556263 | Adam Leslie Anderson | Pharmacist | 51670 Huntington Rd, La Pine, OR 97739-9626 | 2012-04-10 |
| 1144595075 | Adam Anderson | Technician | 14907 125th St, Glencoe, MN 55336-4613 | 2012-03-10 |
| 1184915324 | Adam M Anderson | Marriage & Family Therapist | 625 E 8400 S, Sandy, UT 84070-0525 | 2011-04-21 |
| 1154632974 | Adam L Anderson | Internal Medicine | 4921 Parkview Pl Ste 8b, Ste 8b, Saint Louis, MO 63110-1032 | 2010-06-25 |
| 1245565928 | Adam Anderson | Social Worker | 39155 Liberty St, Ste G710, Fremont, CA 94538-1513 | 2009-10-13 |
| 1477757185 | Adam Earl Anderson | Chiropractor | 894 N 2000 W, Pleasant Grove, UT 84062-4047 | 2007-06-14 |
| 1841246261 | Adam Heath Anderson | Chiropractor | 8154 Hwy 59, Suite 204, Foley, AL 36535 | 2006-05-26 |
| Street Address |
1025 MARSH ST |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316206 | James J Milavetz | Internal Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2005-09-14 |
| 1811596059 | Kiman Dinh | Pharmacist | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-10-20 |
| 1295349710 | Joseph Flynn | Pharmacist | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-09-02 |
| 1972115962 | Mohamed A Ibrahim | Community Health Worker | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-08-20 |
| 1174147110 | Emily Behrend | Advanced Practice Midwife | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-06-05 |
| 1205455755 | Whitney Farr | Social Worker | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-04-15 |
| 1134765233 | Kay S Williams | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-11-23 |
| 1871138263 | Sydney Mcinnis | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-11-09 |
| 1730739061 | Kelsey Elizabeth Mork | Physician Assistant | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-09-18 |
| 1891345369 | Matthew Joseph Perri | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417365057 | Adam Anderson, Phd, Clinical Psychologist, LLC | Psychologist | 11 Civic Center Plz Ste 201, Mankato, MN 56001-7718 | 2014-07-28 |
| 1124297213 | George V Komaridis | Psychologist | 12 Civic Center Plz, Suite 2090, Mankato, MN 56001-7781 | 2008-02-22 |
| 1326216169 | Philip Psychological Clinic | Psychologist | 510 Sibley Street, Suite 200, Mankato, MN 56001 | 2008-02-14 |
| 1750586517 | Ponrelil Philipose Philip | Psychologist | 103 North Broad Street, Mankato, MN 56001 | 2007-06-20 |
| 1235273624 | Jacquelyn Marie Jauss | Psychologist | 11 Civic Center Plz, Suite 201, Mankato, MN 56001-7710 | 2007-02-18 |
| 1093886673 | David Earl Hildebrandt | Psychologist | 100 Martin Luther King Dr, Mankato, MN 56001-6275 | 2006-11-13 |
| 1912938275 | Eric Sprankle | Psychologist | 1600 Warren St, Suite 6, Mankato, MN 56001-5197 | 2006-07-05 |
| 1063463347 | Theodore Surdy | Psychologist | 1207 Caledonia St, Mankato, MN 56001-4329 | 2006-05-12 |
| 1043298060 | Theresa L Gunderson | Psychologist | Madison East Center, Suite 352 Mankato Clinic Department of Psychiatry, Mankato, MN 56001 | 2006-01-09 |
| 1932106606 | Kathleen Christensen | Psychologist | 1400 Madison Ave Ste 628, Mankato, MN 56001-5488 | 2005-07-07 |
| Find all providers in MANKATO | ||||
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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.