ADAM ANDERSON, PHD, CLINICAL PSYCHOLOGIST, LLC
NPI 1417365057
Psychologist - Clinical in Mankato, MN

Active since July 28, 2014
11 CIVIC CENTER PLZ STE 201, MANKATO, MN 56001(507) 340-2011 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Adam Anderson, Phd, Clinical Psychologist, Llc NPPES

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

ADAM ANDERSON, PHD, CLINICAL PSYCHOLOGIST, LLC (NPI 1417365057) is a healthcare organization registered as a clinical in Mankato, Minnesota and active in the NPI registry since July 2014. The organization lists Adam Scott Anderson, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1417365057
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameADAM ANDERSON, PHD, CLINICAL PSYCHOLOGIST, LLC
Location Address11 CIVIC CENTER PLZ STE 201Mankato, MN 56001-7718
Mailing Address50 Canterbury CtMankato, MN 56001-8988 · (507) 340-2011
Organization SubpartNo
Authorized OfficialAdam Scott AndersonClinical Psychologist · (507) 340-2011
Enumeration DateJuly 28, 2014
NPI 1417365057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
11 CIVIC CENTER PLZ STE 201, Mankato, MN 56001

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

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 Adam Anderson, Phd, Clinical Psychologist, LLC's NPI number?

The NPI number for Adam Anderson, Phd, Clinical Psychologist, LLC is 1417365057. It was assigned to this organization in the NPPES registry on July 28, 2014.

Where is Adam Anderson, Phd, Clinical Psychologist, LLC located?

Adam Anderson, Phd, Clinical Psychologist, LLC is located at 11 Civic Center Plz Ste 201, Mankato, MN 56001. The listed phone number is (507) 340-2011.

What is Adam Anderson, Phd, Clinical Psychologist, LLC'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 Adam Anderson, Phd, Clinical Psychologist, LLC was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.