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

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: July 26, 2026.

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

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
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

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Neurological Surgery
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Cardiology)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Medical Genetics (Clinical Genetics (M.D.))
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Obstetrics & Gynecology
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Infectious Diseases)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Social Worker (Clinical)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903

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 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.

Where is Evan Anderson located?

Evan Anderson practices at 1204 W Main St, Charlottesville, VA 22903. The listed phone number is (434) 924-8184.

What is Evan Anderson's specialty?

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

Is Evan Anderson enrolled in Medicare?

Yes. Evan Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Evan Anderson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Evan Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

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