DR. EVAN J ANDERSON PHD
NPI 1134765159
Psychologist - Clinical in Charlottesville, VA

Q: What is Evan Anderson's NPI number?

The NPI number for Evan Anderson is 1134765159. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Q: What is Evan Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evan Anderson was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 25, 2019PECOS Enrolled

1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-8184 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2024, Nov 25, 2019 (2 updates tracked since 2019).

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About Dr. Evan J Anderson Phd NPPES

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

DR. EVAN J ANDERSON PHD (NPI 1134765159) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0810008529) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134765159

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. EVAN J ANDERSONCredential: PHD

Location Address1204 W MAIN STCharlottesville, VA 22903-2824

Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000

Phone(434) 924-8184

Sole ProprietorNo

Enumeration DateNovember 25, 2019

Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration

NPPES CertifiedJuly 11, 2024

✔ NPI 1134765159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810008529

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.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PS-P00257 (GA)

1204 W MAIN ST, Charlottesville, VA 22903

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Secondary Practice Locations 2

Location 11201 Burleyson RdDalton, GA 30720-3028 · Phone (706) 226-8900

Location 21215 Lee StCharlottesville, VA 22908-3028 · Phone (434) 924-8184

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Evan J Anderson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Evan Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Virginia Physicians Group

1.1 mi

Neuromusculoskeletal Medicine, Sports Medicine

4105 LEWIS AND CLARK DR
Charlottesville, VA 22911

Reassigned Medicare billing, Virginia enrollment
2,820 clinicians in this Medicare group

NPI 1033138250 (434) 295-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HEATHER STEVENS SPADER MD

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