Kent W Anderson PHD PC
NPI 1255662425ActiveOrganization· Psychologist, Clinical· Providence, UT
Psychologist, Clinical in Providence, Utah, registered in NPPES in January 2010. The authorized official on file is Kent W. Anderson, PHD, President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255662425 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2010 |
| Last updated in NPPES | Jan 27, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 324469-2501 | UT |
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 Part B Supplier - Clinic/Group Practice (UT) |
|---|
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