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THOMAS RANDALL ANDERSON PSYD
NPI 1518970169
Psychologist - Clinical in Crestview, FL

Active since August 14, 2006
103 RUBY LN, CRESTVIEW, FL 32539(850) 682-1903(850) 682-8689 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Randall Anderson Psyd NPPES

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

THOMAS RANDALL ANDERSON PSYD (NPI 1518970169) is an individual clinical provider in Crestview, Florida, licensed in Florida (PY6519) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1518970169
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTHOMAS RANDALL ANDERSONCredential: PSYD
Location Address103 RUBY LNCrestview, FL 32539-7341
Mailing Address3997 Stewart Lake RdChipley, FL 32428-7319 · (866) 325-5434 · Fax (866) 325-5340
Phone(850) 682-1903
Fax(850) 682-8689
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518970169 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 FL · PY6519
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.
103 RUBY LN, Crestview, FL 32539
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Other Providers at the Same Location NPPES

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

DELTA HEALTH GROUP INC
Skilled Nursing Facility
103 RUBY LN
CRESTVIEW, FL 32539
Okaloosa County (850) 682-1903

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 Thomas Anderson's NPI number?

The NPI number for Thomas Anderson is 1518970169. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Thomas Anderson located?

Thomas Anderson practices at 103 Ruby Ln, Crestview, FL 32539. The listed phone number is (850) 682-1903.

What is Thomas 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 Thomas 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.