CHRISTIAN TODD ANDERSON (PSY.D.) – Counseling Psychologist, NPI 1881618817

CHRISTIAN TODD ANDERSON (PSY.D.) is a healthcare provider. based in Maple grove, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. LP4615 (MN). The NPI Number for CHRISTIAN TODD ANDERSON (PSY.D.) is 1881618817

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTIAN TODD ANDERSON (PSY.D.)
NPI
1881618817
Phone
(763) 416-4167
Address
7372 KIRKWOOD CT
Enumeration Date
26 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7634164167
Graduation Year
2004 (22 years ago)
PAC ID
8921021536
Group Practice PAC ID
3678596285
Professional Enrollment ID
I20060110000672
Address ID
MN553695656MA7236XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for CHRISTIAN TODD ANDERSON (PSY.D.)

  • 7372, Kirkwood Court North, Maple Grove, Hennepin County, Minnesota, 55369, United States

    MAPLE GROVE, MN 553695202

    Phone: (763) 416-4167

    Type: Location

  • 6330, Alwin Circle, Mound, Hennepin County, Minnesota, 55364, United States

    MOUND, MN 553648627

    Phone: (763) 213-2576

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060110000672IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55369)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678596285View full group profile
NameSpecialtyState
Clinical Social WorkerMN
P S Y C H I A T R YMN
Marriage And Family TherapistMN
Nurse PractitionerMN
Clinical Social WorkerMN
Clinical PsychologistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical PsychologistMN
-MN

Reviews

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Frequently asked questions

What number should I use to identify CHRISTIAN TODD ANDERSON (PSY.D.) for billing?
Administrative and clinical systems typically use NPI 1881618817 for CHRISTIAN TODD ANDERSON (PSY.D.).
Should I treat CHRISTIAN TODD ANDERSON (PSY.D.) as an active provider?
Patients and plans typically see CHRISTIAN TODD ANDERSON (PSY.D.) as active in the national extract.
Which specialty label fits CHRISTIAN TODD ANDERSON (PSY.D.)?
NPPES ties CHRISTIAN TODD ANDERSON (PSY.D.) to Counseling Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to CHRISTIAN TODD ANDERSON (PSY.D.)?
CHRISTIAN TODD ANDERSON (PSY.D.) shows a connection to Maple Grove, Minnesota in registry-derived data.
Who maintains CHRISTIAN TODD ANDERSON (PSY.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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