Justin O'Neal Anderson, PSY.D.
NPI 1780834390ActiveIndividual· Psychologist, Clinical· Louisville, KY
Psychologist, Clinical (PSY.D.) in Louisville, Kentucky, licensed in AL and KY, with an NPI issued in September 2008. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist.
Overview
| NPI | 1780834390 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 19, 2008 |
| Last updated in NPPES | Jun 29, 2021 |
| Certified by provider | Jun 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 1723 | AL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Psychologist | 103T00000X | 1732 | KY |
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 (AL); Practitioner - Clinical Psychologist (KY) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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