NICOLLE ANDERSON PH.D.
NPI 1386859429
Psychologist - Clinical Child & Adolescent in Charlotte, NC

Q: What is Nicolle Anderson's NPI number?

The NPI number for Nicolle Anderson is 1386859429. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Q: What is Nicolle Anderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Nicolle Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 11, 2007PECOS Enrolled

1905 J N PEASE PL, SUITE 104, CHARLOTTE, NC 28262(704) 599-4679 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Nicolle Anderson Ph.d. NPPES

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

NICOLLE ANDERSON PH.D. (NPI 1386859429) is an individual clinical child & adolescent provider in Charlotte, North Carolina, licensed in North Carolina (102528) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386859429

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameNICOLLE ANDERSONCredential: PH.D.

Location Address1905 J N PEASE PL, SUITE 104Charlotte, NC 28262-4557

Mailing Address8728 Arbor Commoms LnConcord, NC 28027-3575 · (704) 795-9150

Phone(704) 599-4679

Sole ProprietorYes

Enumeration DateMay 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1386859429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in NC · 102528

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1905 J N PEASE PL, Charlotte, NC 28262

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolle Anderson Ph.d. 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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAREN ELIZABETH OLDHAM PSY.D.

Psychologist (Clinical)

1905 J N PEASE PL, SUITE 104
CHARLOTTE, NC 28262

Mecklenburg County (704) 549-0333

ANDRANA CONNIE LEE MSW

Social Worker (Clinical)

1905 J N PEASE PL
CHARLOTTE, NC 28262

Mecklenburg County (704) 910-0136

GROW YOURSELF GREAT COUNSELING AND CONSULTING PLLC

Counselor (Mental Health)

1905 J N PEASE PL
CHARLOTTE, NC 28262

Mecklenburg County (704) 219-7306

SWATI NIRODI MS, LPC, PLLC

Counselor (Professional)

1905 J N PEASE PL, SUITE 201
CHARLOTTE, NC 28262

Mecklenburg County (704) 906-4765

JANINE ANNETTE MULLER LCSW

Social Worker (Clinical)

1905 J N PEASE PL, #201
CHARLOTTE, NC 28262

Mecklenburg County (704) 561-1411

DIANE K MERRELL LPC

Counselor (Professional)

1905 J N PEASE PL, SUITE 201
CHARLOTTE, NC 28262

Mecklenburg County (704) 998-1781

DANIELLE CRAWFORD

Social Worker (Clinical)

1905 J N PEASE PL
CHARLOTTE, NC 28262

Mecklenburg County (704) 910-0136

DR. AARON D LESS PH.D.

Psychologist (Counseling)

1905 J N PEASE PL, STE. 104
CHARLOTTE, NC 28262

Mecklenburg County (704) 965-9965

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 Nicolle Anderson's NPI number?

The NPI number for Nicolle Anderson is 1386859429. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Nicolle Anderson located?

Nicolle Anderson practices at 1905 J N Pease Pl Suite 104, Charlotte, NC 28262. The listed phone number is (704) 599-4679.

What is Nicolle Anderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Nicolle Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicolle Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.