DR. LAUREL ANDERSON PH.D.
NPI 1053464016
Psychologist - Clinical in Los Angeles, CA

Active since January 20, 2007Opted out of Medicare · through Apr 7, 2028
9911 W PICO BLVD, 1070, LOS ANGELES, CA 90035(310) 826-9576 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laurel Anderson Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAUREL ANDERSON PH.D. (NPI 1053464016) is an individual clinical provider in Los Angeles, California, licensed in California (PSY9217) and active in the NPI registry since January 2007. She has opted out of Medicare through April 7, 2028.

NPPES Registry Identity

NPI1053464016
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LAUREL ANDERSONCredential: PH.D.
Location Address9911 W PICO BLVD, 1070Los Angeles, CA 90035-2703
Mailing Address9911 W Pico Blvd, 1070Los Angeles, CA 90035-2703 · (310) 826-9576
Sole ProprietorYes
Enumeration DateJanuary 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053464016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY9217
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
9911 W PICO BLVD, Los Angeles, CA 90035

Other Identifiers 1

Medicare ID-Type UnspecifiedCP9217CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Laurel Anderson Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 7, 2026 through April 7, 2028.

Opt-Out Effective DateApril 7, 2026
Opt-Out In Effect ThroughApril 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
9911 W PICO BLVD, SUITE 1575
LOS ANGELES, CA 90035
Psychiatry & Neurology (Psychiatry)
9911 W PICO BLVD, STE 1025
LOS ANGELES, CA 90035
Dentist (Prosthodontics)
9911 W PICO BLVD, SUITE # 950
LOS ANGELES, CA 90035
Dentist
9911 W PICO BLVD, SUITE 1500
LOS ANGELES, CA 90035
Psychologist (Clinical)
9911 W PICO BLVD
LOS ANGELES, CA 90035
Marriage & Family Therapist
9911 W PICO BLVD, SUITE 1480
LOS ANGELES, CA 90035
Psychologist
9911 W PICO BLVD
LOS ANGELES, CA 90035
Dentist (General Practice)
9911 W PICO BLVD, #970
LOS ANGELES, CA 90035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel Anderson's NPI number?

The NPI number for Laurel Anderson is 1053464016. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Where is Laurel Anderson located?

Laurel Anderson practices at 9911 W Pico Blvd 1070, Los Angeles, CA 90035. The listed phone number is (310) 826-9576.

What is Laurel Anderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Laurel Anderson enrolled in Medicare?

No. Laurel Anderson has opted out of Medicare through April 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laurel Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.