SAMANTHA LEE ANDERS PHD
NPI 1629324066
Psychologist in Minneapolis, MN

Active since August 02, 2012Opted out of Medicare · through Apr 1, 2027
1 VETERANS DR, PSYCHOLOGY SVC, #116A, MINNEAPOLIS, MN 55417(646) 526-5208 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Lee Anders Phd NPPES

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

SAMANTHA LEE ANDERS PHD (NPI 1629324066) is an individual psychologist in Minneapolis, Minnesota and active in the NPI registry since August 2012. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629324066
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSAMANTHA LEE ANDERSCredential: PHD
Location Address1 VETERANS DR, PSYCHOLOGY SVC, #116AMinneapolis, MN 55417-2309
Mailing Address1 Veterans Dr, Psychology Svc, #116aMinneapolis, MN 55417-2309 · (646) 526-5208
Sole ProprietorNo
Enumeration DateAugust 2, 2012
NPI 1629324066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1 VETERANS DR, Minneapolis, MN 55417

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Samantha Lee Anders Phd 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 April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-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.

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
1 VETERANS DR
MINNEAPOLIS, MN 55417
Internal Medicine
1 VETERANS DR
MINNEAPOLIS, MN 55417
Social Worker
1 VETERANS DR
MINNEAPOLIS, MN 55417
Family Medicine (Hospice and Palliative Medicine)
1 VETERANS DR
MINNEAPOLIS, MN 55417
Specialist/Technologist (Rehabilitation, Blind)
1 VETERANS DR
MINNEAPOLIS, MN 55417
Registered Nurse
1 VETERANS DR
MINNEAPOLIS, MN 55417
Registered Nurse (Ambulatory Care)
1 VETERANS DR
MINNEAPOLIS, MN 55417
Registered Nurse
1 VETERANS DR
MINNEAPOLIS, MN 55417

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 Samantha Anders's NPI number?

The NPI number for Samantha Anders is 1629324066. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Where is Samantha Anders located?

Samantha Anders practices at 1 Veterans Dr Psychology Svc, #116a, Minneapolis, MN 55417. The listed phone number is (646) 526-5208.

What is Samantha Anders's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Samantha Anders enrolled in Medicare?

No. Samantha Anders has opted out of Medicare through April 1, 2027. 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 Samantha Anders was last updated on August 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.