ADISA ANDERSON (PH.D.) – Counseling Psychologist, NPI 1174938542

ADISA ANDERSON (PH.D.) is a healthcare provider. based in Pullman, Washington. specializing in Counseling Psychologist. They hold the professional credentials PH.D.. They hold a License No. 28984 (CA). The NPI Number for ADISA ANDERSON (PH.D.) is 1174938542

Main info

Male
Sole Proprietor
Name
ADISA ANDERSON (PH.D.)
NPI
1174938542
Phone
(562) 331-0808
Address
1890 NE MERMAN DR
Enumeration Date
24 June 2014
Last Update Date
12 March 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for ADISA ANDERSON (PH.D.)

  • 1890 NE MERMAN DR

    APT A103

    PULLMAN, WA 991635084

    Phone: (562) 331-0808

    Type: Mailing

  • 2222 BANCROFT WAY SPC 4300

    BERKELEY, CA 947204300

    Phone: (510) 934-6255

    Type: Mailing

  • 2222 BANCROFT WAY

    #4300

    BERKELEY, CA 947204300

    Phone: (510) 934-6255

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 99163)

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Reviews

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Frequently asked questions

What federal number belongs to ADISA ANDERSON (PH.D.)?
The federal identifier for ADISA ANDERSON (PH.D.) is NPI 1174938542.
Does this profile mean ADISA ANDERSON (PH.D.) is currently active?
Yes — ADISA ANDERSON (PH.D.) appears active in the national provider directory.
What kind of provider is ADISA ANDERSON (PH.D.)?
The page reflects Counseling Psychologist for ADISA ANDERSON (PH.D.). Clinical services aligned with this taxonomy classification.
What location shows for ADISA ANDERSON (PH.D.)?
We surface Pullman, Washington for ADISA ANDERSON (PH.D.) based on available NPPES addresses.
Is ADISA ANDERSON (PH.D.) a real provider?
This page reflects official NPPES data for NPI 1174938542. Always confirm identity and privileges with the practice and licensing boards.

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