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SHAUN MICHAEL ANDERSON
NPI 1063019057
Counselor - Mental Health in Gainesville, FL

Active since October 03, 2020
235 S MAIN ST STE 203, GAINESVILLE, FL 32601(352) 363-5410 Get Directions Write a Review

NPPES record last updated: October 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shaun Michael Anderson NPPES

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

SHAUN MICHAEL ANDERSON (NPI 1063019057) is an individual mental health provider in Gainesville, Florida, licensed in Florida (IMH19279) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1063019057
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHAUN MICHAEL ANDERSON
Location Address235 S MAIN ST STE 203Gainesville, FL 32601-6585
Mailing Address235 S Main St Ste 203Gainesville, FL 32601-6585 · (352) 363-5410
Phone(352) 363-5410
Sole ProprietorYes
Enumeration DateOctober 3, 2020
NPPES CertifiedOctober 3, 2020
✔ NPI 1063019057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH19279
235 S MAIN ST STE 203, Gainesville, FL 32601
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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 Shaun Anderson's NPI number?

The NPI number for Shaun Anderson is 1063019057. It was assigned to this individual provider in the NPPES registry on October 3, 2020.

Where is Shaun Anderson located?

Shaun Anderson practices at 235 S Main St Ste 203, Gainesville, FL 32601. The listed phone number is (352) 363-5410.

What is Shaun Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shaun Anderson was last updated on October 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.