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KENT W ANDERSON PHD PC
NPI 1255662425
Psychologist - Clinical in Providence, UT

Active since January 27, 2010
545 W 465 N, SUITE 130, PROVIDENCE, UT 84332(435) 752-7627(435) 752-7802 Get Directions Write a Review

NPPES record last updated: January 27, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kent W Anderson Phd Pc NPPES

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

KENT W ANDERSON PHD PC (NPI 1255662425) is a healthcare organization registered as a clinical in Providence, Utah and active in the NPI registry since January 2010. The organization lists Kent W Anderson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1255662425
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKENT W ANDERSON PHD PC
Location Address545 W 465 N, SUITE 130Providence, UT 84332-8003
Mailing Address545 W 465 N, Suite 130Providence, UT 84332-8003 · (435) 752-7627 · Fax (435) 752-7802
Phone(435) 752-7627
Fax(435) 752-7802
Organization SubpartNo
Authorized OfficialKent W AndersonPresident/owner · (435) 752-7627
Enumeration DateJanuary 27, 2010
✔ NPI 1255662425 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 UT · 324469-2501
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.
545 W 465 N, Providence, UT 84332
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN000074018
Medicare UPINS90860

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kent W Anderson Phd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kent W Anderson Phd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kent Anderson, PHD
Clinical Psychologist
NPI 1932231016
545 W 465 N SUITE 130
Providence, UT 84332
(435) 752-7627
✔ PECOS✔ Accepts MedicareSame address

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

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 Kent W Anderson Phd PC's NPI number?

The NPI number for Kent W Anderson Phd PC is 1255662425. It was assigned to this organization in the NPPES registry on January 27, 2010.

Where is Kent W Anderson Phd PC located?

Kent W Anderson Phd PC is located at 545 W 465 N Suite 130, Providence, UT 84332. The listed phone number is (435) 752-7627.

What is Kent W Anderson Phd PC's specialty?

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

Is Kent W Anderson Phd PC enrolled in Medicare?

Yes. Kent W Anderson Phd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kent W Anderson Phd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kent W Anderson Phd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kent W Anderson Phd PC accept?

Health plans from University of Utah Health Plans list Kent W Anderson Phd PC 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 Kent W Anderson Phd PC was last updated on January 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.