ADISA ANDERSON PH.D.
NPI 1174938542
Psychologist - Counseling in Berkeley, CA

Active since June 24, 2014
2222 BANCROFT WAY, #4300, BERKELEY, CA 94720(510) 934-6255 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Adisa Anderson Ph.d. NPPES

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

ADISA ANDERSON PH.D. (NPI 1174938542) is an individual counseling provider in Berkeley, California, licensed in California (28984) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1174938542
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameADISA ANDERSONCredential: PH.D.
Location Address2222 BANCROFT WAY, #4300Berkeley, CA 94720-4300
Mailing Address2222 Bancroft Way Spc 4300Berkeley, CA 94720-4300 · (510) 934-6255
Sole ProprietorYes
Enumeration DateJune 24, 2014
Last NPPES UpdateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
NPI 1174938542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in CA · 28984
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2222 BANCROFT WAY, Berkeley, CA 94720

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Clinic/Center (Student Health)
2222 BANCROFT WAY, PHARMACY; ROOM 1115
BERKELEY, CA 94720
Nurse Practitioner (Psychiatric/Mental Health)
2222 BANCROFT WAY, #4300
BERKELEY, CA 94720
Registered Nurse (College Health)
2222 BANCROFT WAY
BERKELEY, CA 94720
Student in an Organized Health Care Education/Training Program
2222 BANCROFT WAY
BERKELEY, CA 94720
Social Worker (Clinical)
2222 BANCROFT WAY
BERKELEY, CA 94720
Counselor (Mental Health)
2222 BANCROFT WAY
BERKELEY, CA 94720
Registered Nurse (Emergency)
2222 BANCROFT WAY
BERKELEY, CA 94720
Psychologist
2222 BANCROFT WAY, 3RD FLOOR, COUNSELING & PSYCHOLOGICAL SERVICES
BERKELEY, CA 94720

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 Adisa Anderson's NPI number?

The NPI number for Adisa Anderson is 1174938542. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Adisa Anderson located?

Adisa Anderson practices at 2222 Bancroft Way #4300, Berkeley, CA 94720. The listed phone number is (510) 934-6255.

What is Adisa Anderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

When was this NPI record last updated?

The NPPES record for Adisa Anderson was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.