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BRETT ANDERSEN PSYD
NPI 1386172732
Clinical Neuropsychologist in Phoenix, AZ

Active since May 30, 2017Opted out of Medicare · through Oct 1, 2026
300 W CLARENDON AVE STE 130, PHOENIX, AZ 85013(602) 300-1508 Get Directions Write a Review

NPPES record last updated: May 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brett Andersen Psyd NPPES

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

BRETT ANDERSEN PSYD (NPI 1386172732) is an individual clinical neuropsychologist in Phoenix, Arizona, licensed in Arizona (4845) and active in the NPI registry since May 2017. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386172732
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameBRETT ANDERSENCredential: PSYD
Location Address300 W CLARENDON AVE STE 130Phoenix, AZ 85013-3421
Mailing Address11445 E Via Linda, Suite 2, Pmb 473Scottsdale, AZ 85259
Phone(602) 300-1508
Sole ProprietorNo
Enumeration DateMay 30, 2017
✔ NPI 1386172732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in AZ · 4845
Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

300 W CLARENDON AVE STE 130, Phoenix, AZ 85013
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Brett Andersen Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Brett Andersen's NPI number?

The NPI number for Brett Andersen is 1386172732. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Brett Andersen located?

Brett Andersen practices at 300 W Clarendon Ave Ste 130, Phoenix, AZ 85013. The listed phone number is (602) 300-1508.

What is Brett Andersen's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Brett Andersen enrolled in Medicare?

No. Brett Andersen has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Brett Andersen was last updated on May 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.