CHARLES C. ANDERSON ED.D REG PSY – Adult Mental Health Clinic/Center, NPI 1194963082

CHARLES C. ANDERSON ED.D REG PSY is a healthcare provider. based in Chicago, Illinois. specializing in Adult Mental Health Clinic/Center. The organization holds a License No. 071.002741 (IL). The NPI Number for CHARLES C. ANDERSON ED.D REG PSY is 1194963082

Main info

Organization
Name
CHARLES C. ANDERSON ED.D REG PSY
NPI
1194963082
Phone
(847) 398-1717
Address
2030 N MAGNOLIA AVE
Authorized Official
DR. CHARLES C. ANDERSON PRESIDENT ED.D
Enumeration Date
30 January 2009
Last Update Date
30 January 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for CHARLES C. ANDERSON ED.D REG PSY

  • 2028-2030, North Magnolia Avenue, Sheffield Neighbors, Lincoln Park, Chicago, North Chicago Township, Cook County, Illinois, 60614, United States

    CHICAGO, IL 606144010

    Phone: (847) 398-1717

    Fax: (773) 348-5271

    Type: Location

  • 3411, North Kennicott Avenue, Arlington Heights, Wheeling Township, Cook County, Illinois, 60004, United States

    B

    ARLINGTON HEIGHTS, IL 600047813

    Phone: (847) 398-1717

    Fax: (773) 348-5271

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 60614)

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Reviews

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Frequently asked questions

Can I verify CHARLES C. ANDERSON ED.D REG PSY with an NPI only?
You can start verification with NPI 1194963082 for CHARLES C. ANDERSON ED.D REG PSY, then check state licensing separately.
Does CMS list CHARLES C. ANDERSON ED.D REG PSY as active?
Yes — CHARLES C. ANDERSON ED.D REG PSY is active in the NPI listing used on this page.
What is CHARLES C. ANDERSON ED.D REG PSY's primary classification?
Adult Mental Health Clinic/Center is the headline specialty for CHARLES C. ANDERSON ED.D REG PSY here. Clinical services aligned with this taxonomy classification.
Where should I expect CHARLES C. ANDERSON ED.D REG PSY on a map?
Expect Chicago, Illinois as a primary anchor for CHARLES C. ANDERSON ED.D REG PSY unless the record lists multiple sites.
Is the information about CHARLES C. ANDERSON ED.D REG PSY up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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