DR. JEAN ANDERSON PSYD
NPI 1366824096
Psychologist - Clinical in Pago Pago, AS

Q: What is Jean Anderson's NPI number?

The NPI number for Jean Anderson is 1366824096. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Q: What is Jean 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 Jean Anderson was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 18, 2015

552 FAGAIMA ROAD, PAGO PAGO, AS 96799(684) 252-7455 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jean Anderson Psyd NPPES

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

DR. JEAN ANDERSON PSYD (NPI 1366824096) is an individual clinical provider in Pago Pago, American Samoa, licensed in American Samoa (4047-A) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1366824096

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JEAN ANDERSONCredential: PSYD

Location Address552 FAGAIMA ROADPago Pago, AS 96799

Mailing AddressPo Box 552, Fagaima RoadPago Pago, AS 96799-0552 · (684) 252-7455

Phone(684) 252-7455

Sole ProprietorYes

Enumeration DateJune 18, 2015

✔ NPI 1366824096 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 AS · 4047-A

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.

Other Identifiers 1

Other4047-AAS · Health Regulatory Board License

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 Jean Anderson's NPI number?

The NPI number for Jean Anderson is 1366824096. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Where is Jean Anderson located?

Jean Anderson practices at 552 Fagaima Road, Pago Pago, AS 96799. The listed phone number is (684) 252-7455.

What is Jean Anderson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jean Anderson was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.