Evan J. Anderson, PHD
NPI 1134765159ActiveIndividual· Psychologist, Clinical· Charlottesville, VA
Psychologist, Clinical (PHD) in Charlottesville, Virginia, licensed in VA and GA, with an NPI issued in November 2019. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1134765159 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Nov 25, 2019 |
| Last updated in NPPES | Jul 11, 2024 |
| Certified by provider | Jul 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 0810008529 | VA |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | PS-P00257 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (VA) |
|---|
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