BOB ANDERSON, PH.D., PC (NPI# 1821128471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821128471 |
| Entity Type | Organization |
| Organization Name | BOB ANDERSON, PH.D., PC |
| Other Organization Name | SOLUTIONS BY THE LAKE |
| Practice Address |
710 Northeast Dr Suite 11 Davidson NC 28036-7427 |
| Practice Telephone | 7048925788 |
| Practice Fax Number | 7048925799 |
| Mailing Telephone | 7048925788 |
| Mailing Fax Number | 7048925799 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | DR. ROBERT J ANDERSON (PRESIDENT-LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 7048925788 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1891 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MHN | 102698 | 01 |
| NC | MAMSI | 386715 | 01 |
| NC | UNITED BEHAVIORAL HEALTH | 6165368 | 01 |
| NC | 6000290 | 05 | |
| NC | MAGELLAN HEALTH SERVICES | 101417000 | 01 |
| NC | COVENTRY HC-FIRST HEALTH | 965120 | 01 |
| Other Name | Type Code |
|---|---|
| Solutions by the Lake | Doing Business As Name - Organization |
| Street Address |
710 NORTHEAST DR SUITE 11 |
| City | DAVIDSON |
| State | NC |
| Zip Code | 28036-7427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851332910 | Jennifer Lynn Sadoff | Psychologist | 710 Northeast Dr, Suite 11, Davidson, NC 28036-7427 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825285 | Samuel Kelse Hughes | Family Medicine | 104 Knox Ct, Suite 100, Davidson, NC 28036 | 2017-04-12 |
| 1023552098 | Melissa Marie Switek | Counselor | 706 Northeast Dr Ste 1, Davidson, NC 28036 | 2016-12-11 |
| 1386016020 | Morgan Rodgers | Counselor | 901 Northeast Drive, Suite 201, Davidson, NC 28036 | 2015-10-21 |
| 1578931333 | Renee Shull Johnson | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036 | 2015-09-10 |
| 1356748651 | Terri Ellerbe-graves | Counselor | 505 Park Avenue, Apt 2, Davidson, NC 28036 | 2014-12-02 |
| 1588085609 | Jay Alexander Caskey | Counselor | 16745 Davidson-concord Road, Davidson, NC 28036 | 2013-12-16 |
| 1932443181 | Jeannine Bodner | Social Worker | 120d S Village Ln, Davidson, NC 28036 | 2012-11-11 |
| 1295083921 | Kelley Cock | Counselor | 209 Delburg Street, Suite 103, Davidson, NC 28036 | 2012-08-28 |
| 1922371319 | Healing Tree Counseling and Wellness, Pllc | Counselor | 911 Northeast Drive, 301, Davidson, NC 28036 | 2012-02-15 |
| 1750678470 | Kimberly Makuch Leppert | Social Worker | 432 S. Main St, Suite 200, Davidson, NC 28036 | 2011-07-01 |
| Find all providers in zip 28036 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417223124 | Audrey Nicole Atkinson | Psychologist | 903 Northeast Dr Ste 102, Davidson, NC 28036-7437 | 2012-03-27 |
| 1174539688 | Camilla Rogers | Psychologist | 107 N Main St # 205, Davidson, NC 28036-9402 | 2006-08-01 |
| 1093047094 | Alloway Consulting, P.l.l.c. | Psychologist | 903 Northeast Drive, Suite 101, Davidson, NC 28036-7437 | 2010-02-02 |
| 1013936665 | Teresa Klosek | Psychologist | 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036-8746 | 2006-07-18 |
| 1760426712 | M. Dewitt Crosby | Psychologist | 107 N Main St, Pob 1090, Davidson, NC 28036-9402 | 2006-06-16 |
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| 1538778584 | Stephanie Goodson | Psychologist | 1638 Lookout Cir, Waxhaw, NC 28173-8085 | 2020-07-27 |
| 1205453388 | Gregory A Welikson, Phd, Pllc | Psychologist | 1334 Daventry Ct, Chapel Hill, NC 27517-9412 | 2020-07-06 |
| 1689297921 | David B Spano | Psychologist | 3205 N Mcdowell St, Charlotte, NC 28205-1552 | 2020-05-21 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1952939811 | A4psychology, Pllc | Psychologist | 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 | 2020-03-27 |
| 1407487226 | James Francis Skane Jr. | Psychologist | 123 S 29th St, Wilmington, NC 28403-1223 | 2020-01-30 |
| 1932746294 | Lindsay Pulver | Psychologist | 3501 Sherbourne Ln, Greensboro, NC 27405-4964 | 2019-12-05 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
| 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.