DR. JASON DEAN ANDERSON


Address: 1340 Celebration Blvd, Unit C, Florence, SC 29501-5585
Phone: 8435361180

DR. JASON DEAN ANDERSON (NPI# 1942481882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942481882
Entity Type Individual
Full Name DR. JASON DEAN ANDERSON
Credential PSY.D.
Practice Address 1340 Celebration Blvd
Unit C
Florence
SC 29501-5585
Mailing Address 1340 Celebration Blvd
Unit A
Florence
SC 29501-5585
Practice Telephone 8435361180
Practice Fax Number 8435361116
Mailing Telephone 8435361180
Mailing Fax Number 8435361116
Enumeration Date 2007-11-20
Last Update Date 2016-09-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1073 SC Behavioral Health & Social Service Providers

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Office Location

Street Address 1340 CELEBRATION BLVD
UNIT C
City FLORENCE
State SC
Zip Code 29501-5585

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467678672 Edward L Scearce Psychologist 1340 Celebration Blvd, Unit C, Florence, SC 29501-5585 2007-04-17
1275023483 Leah M. Adams Psychologist 1340 Celebration Blvd, Florence, SC 29501-5585 2018-05-14
1033577465 Susan Craft Astary Psychologist 1340 Celebration Blvd, Florence, SC 29501-5585 2016-01-30
1912370917 Vanessa Miranda Lobo Counselor 1340 Celebration Blvd, Unit A, Florence, SC 29501-5585 2015-11-12
1255756565 Wellspring Psychology Group LLC Psychologist 1340 Celebration Blvd, Unit A, Florence, SC 29501-5585 2014-02-24
1992142905 Faith Tyner Counselor 1340 Celebration Blvd, Florence, SC 29501 2013-05-30
1114266707 Mary Elizabeth Rogers Counselor 1340 Celebration Blvd, Suite A, Florence, SC 29501 2013-02-03
1730351347 Rosanne Fulcher Counselor 1340 Celebration Blvd, Unit A, Florence, SC 29501-5585 2008-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700350444 Angel Edwards Brown Nurse Practitioner Mcleod Health, 555 East Cheves Street, Florence, SC 29501 2019-01-16
1497229124 Fred L. Evans IIi Physical Therapy Assistant 2439 Willwood Dr., Florence, SC 29501 2019-01-16
1841715596 Faith Hope Love Homecare Home Health 604 S. Coit Street, Florence, SC 29501 2017-08-03
1083156350 Karen Artis-bacote Nurse Practitioner 3835 Susan Dr, Florence, SC 29501 2016-11-17
1992251581 Higher Ground Christian Counseling Service, LLC Counselor 1801 D West Evans Street, Florence, SC 29501 2016-09-01
1952752818 Jack Carter Shackelford Chiropractor 311 West Palmetto Street, Florence, SC 29501 2016-06-22
1750743506 Profection Therapy LLC Clinic/Center 315d North Beltline Dr., Florence, SC 29501 2016-03-22
1386002467 Bergelt Optometric LLC Optometrist 2672 David Mcleod Blvd, Florence, SC 29501 2016-02-04
1437531993 Sherika Tarshall Stuckey Nurse Practitioner 720 Coventry Lane, Apt C, Florence, SC 29501 2015-06-22
1245610062 Christopher Tyree Podiatrist 709 W Evans St, Florence, SC 29501 2015-06-06
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093299299 Kallye Joanah Renner Psychologist 7426 Us 42 Ste 106, Florence, KY 41042-2056 2018-09-24
1396235263 Lorraine Mangione Psychologist 21 W Parsons Ln, Florence, MA 01062-3668 2018-05-15
1548757412 Kathleen E Schroeder Psychologist 4374 E Butte Ave., Florence, AZ 85132-8513 2018-04-17
1275849614 David Alexander Reince Psychologist 466 W Cheves St, Florence, SC 29501-4436 2010-08-24
1184938524 Nicole Taylor Psychologist 321 N. Bailey Street, #d, Florence, AZ 85132 2010-07-27
1508192378 William Glenn Clingempeel Psychologist 1505-b Heritage Lane, Florence, SC 29505 2009-10-28
1457580896 Andrea Lea Pritchard-boone Psychologist 314 S Mcqueen St, Florence, SC 29501-4723 2009-07-07
1851547335 Alexis Sanders Psychologist 1516 S Langley Dr, Florence, SC 29501-6149 2008-08-15
1104088038 Good Shepherd Institute, Inc. Psychologist 7103 Turfway Rd, Suite 101, Florence, KY 41042-2094 2008-07-01
1750550992 Ronald Murphy Psychologist 1112 Gregg Ave, Florence, SC 29501-4327 2008-02-21
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Competitor

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City FLORENCE
Zip Code 29501

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Dataset Information

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.

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